ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
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.
Question 2 of 5
Which chronic medical condition is a common trigger for major depressive disorder?
Correct Answer: C
Rationale: The correct answer is C: Hypothyroidism. Hypothyroidism is a common trigger for major depressive disorder due to its impact on hormone levels, particularly thyroid hormones that regulate mood. When thyroid levels are imbalanced, it can lead to symptoms of depression. Pain (choice A), hypertension (choice B), and Crohn's disease (choice D) can also contribute to depression but are not as directly linked to triggering major depressive disorder compared to hypothyroidism.
Question 3 of 5
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 4 of 5
The nurse is reviewing the medical records of several patients diagnosed with major depression. The nurse identifies which patient as least likely to commit suicide?
Correct Answer: D
Rationale: The correct answer is D, the married man. Research shows that individuals who are married have a lower suicide risk compared to those who are single, divorced, or widowed. Marriage provides social support, stability, and a sense of belonging which can act as protective factors against suicide. Divorced individuals (choice A) and widowed individuals (choice B) may experience loneliness and grief which can increase their suicide risk. Single individuals (choice C) may lack the support system that marriage provides, making them more vulnerable to suicide. Therefore, the married man is least likely to commit suicide due to the protective factors associated with being in a marital relationship.
Question 5 of 5
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.