ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 9
A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: B
Rationale: The correct answer is B: "I should eat small frequent meals if I get nauseated." This is correct because methadone can cause nausea as a side effect, and eating small, frequent meals can help alleviate this symptom. Option A is incorrect because alcohol should be avoided while on methadone therapy. Option C is incorrect as methadone should be taken with food to reduce gastrointestinal side effects. Option D is incorrect as constipation, not diarrhea, is a common side effect of methadone therapy.
Question 2 of 9
When describing mental health to a community group ranging in age between 25 and 50 years, the nurse includes information about the developmental concepts that are often readdressed when life stresses occur. Which developmental concept would the nurse be least likely to address?
Correct Answer: B
Rationale: The correct answer is B: Ego integrity. Ego integrity is a developmental concept typically associated with late adulthood (65+ years) according to Erikson's psychosocial theory. In the age range of 25-50 years, individuals are more focused on addressing challenges related to identity, generativity, and intimacy. Identity refers to establishing a sense of self, generativity involves contributing to society and future generations, and intimacy pertains to forming close relationships. Ego integrity, on the other hand, involves reflecting on one's life and accepting the outcomes, which is not a primary focus for individuals in the 25-50 age group.
Question 3 of 9
A nursing instructor is preparing a class presentation for a group of nursing students about cognitive behavioral therapy. Which of the following would the instructor be least likely to include?
Correct Answer: A
Rationale: The correct answer is A because cognitive behavioral therapy focuses on changing thoughts and behaviors, not necessarily on events as the underlying issue. The therapist would be least likely to include this as it does not align with the core principles of CBT. Choice B is correct as CBT acknowledges that beliefs can exist irrespective of their origin. Choice C is correct as CBT emphasizes the role of practice in changing beliefs. Choice D is correct as CBT involves challenging and replacing negative thoughts with more accurate ones.
Question 4 of 9
A client asks the evening shift nurse,"How do you feel about my refusing to attend group therapy this morning?" The nurse responds,"How did your refusing to attend group make you feel?" This nurse is using which communication technique?
Correct Answer: C
Rationale: The correct answer is C: Therapeutic use of "reflection." This communication technique involves mirroring the client's feelings or thoughts back to them, allowing them to explore their own emotions. In this scenario, the nurse is reflecting the client's feelings back to them by asking how their refusal to attend group therapy made them feel. This encourages self-exploration and insight. A: Therapeutic use of "restatement" involves repeating the client's words to show understanding, which is not demonstrated in the scenario. B: Nontherapeutic use of "probing" involves asking direct questions that may feel intrusive, which is not the case here. D: Nontherapeutic use of "interpreting" involves offering interpretations or judgments, which is not demonstrated in the scenario.
Question 5 of 9
When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
Correct Answer: C
Rationale: The correct answer is C: Advocacy. The nurses have advocated for the care of persons diagnosed with mental illness by writing letters to their elected representatives in opposition to the legislation that reduces funding for mental health care. Advocacy involves actively supporting a cause or policy to influence decision-makers for the betterment of a specific group or issue. In this scenario, the nurses have demonstrated advocacy by speaking out on behalf of individuals with mental illness to protect their access to necessary care and support. Choices A, B, and D are incorrect because they do not accurately describe the nurses' actions in this context.
Question 6 of 9
Gladys is seeing a therapist because her husband committed suicide 6 months ago. Gladys tells her therapist, 'I know he was in pain, but why didn't he leave me a note?' The therapist's best response would be:
Correct Answer: C
Rationale: Rationale: The correct response is C. When someone is in emotional pain to the extent of contemplating suicide, their ability to think clearly and rationally is often compromised. This is especially true in the case of sudden or impulsive suicides. Therefore, the therapist's best response would be to explain that the husband's emotional turmoil likely clouded his judgment and prevented him from leaving a note. Incorrect Choices: A: This choice assumes impulsivity, but it doesn't address the husband's emotional state. B: While this choice considers the impact on Gladys, it doesn't directly address the husband's mental state. D: This choice focuses on Gladys' potential interpretation rather than the husband's state of mind.
Question 7 of 9
A patient's global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?
Correct Answer: B
Rationale: The correct answer is B (82) because a higher score indicates better functioning on the Global Assessment of Functioning (GAF) scale. A score of 82 indicates minimal symptoms with good functioning in all areas. Choice A (94) would suggest superior functioning, which does not align with minimal symptoms. Choices C (75) and D (63) indicate lower functioning and more significant symptoms, which are not consistent with the patient's presentation of minimal symptoms and good functioning. Therefore, B is the most appropriate choice based on the information provided.
Question 8 of 9
A nurse is caring for four clients. Which of the following clients should the nurse care for first?
Correct Answer: D
Rationale: The correct answer is D because the client requiring a sterile dressing change for a burn has the highest priority due to the risk of infection and potential complications. Sterile technique is crucial to prevent infections in burn wounds. Burn injuries can lead to sepsis if not properly managed. Clients receiving chemotherapy (Choice A) may require careful monitoring but do not have an immediate risk of infection like the burn client. A client who has had an appendectomy and has diminished bowel sounds (Choice B) may indicate a potential complication but is not as urgent as managing a burn wound. A client with hypothyroidism and stupor (Choice C) may require intervention but does not pose an immediate threat to life like a burn wound needing a sterile dressing change.
Question 9 of 9
A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of highest priority is to
Correct Answer: A
Rationale: The correct answer is A: provide for the patient's safety. This is the highest priority because the patient is exhibiting behaviors that indicate distress and potential harm to themselves or others. Ensuring the patient's safety is the immediate concern to prevent any accidents or dangerous situations. Choice B is incorrect because encouraging clarification of feelings is not the priority when the patient is in a state of distress and potential danger. Choice C is incorrect as respecting personal space is important but not the most critical in this urgent situation. Choice D is also incorrect as offering an outlet for energy is not the immediate need when the patient is displaying alarming behaviors.