ATI RN
ATI RN Mental Health Online Practice 2023 B Questions
Question 1 of 5
Graciela is a sixty-three-year-old woman who recently became the primary caregiver for her husband who had a stroke. She tells her husband's nurse that she has been feeling lonely and sad lately and that none of her friends seem to understand what she is going through. What community resource would best benefit Graciela?
Correct Answer: D
Rationale: The correct answer is D: a support group for adult caregivers. Graciela is experiencing feelings of loneliness and sadness due to her new role as a caregiver for her husband. A support group for adult caregivers would provide her with a community of individuals who are going through similar experiences, offering emotional support, understanding, and coping strategies. This resource can help Graciela feel less isolated and more supported in her caregiving journey. Choice A (the local food pantry) does not address Graciela's emotional needs and is not directly related to her situation as a caregiver. Choice B (a rideshare service) is focused on transportation to church and does not address Graciela's feelings of loneliness and sadness. Choice C (a social worker for subsidized housing) does not specifically address Graciela's emotional well-being and may not provide the necessary support for her current situation as a caregiver.
Question 2 of 5
The nurse is counseling a family with a 10-year-old child after the death of a favorite uncle. The nurse provides guidance to the parents, informing them that the child may exhibit which of the following as a response?
Correct Answer: B
Rationale: The correct answer is B because children often express grief through physical symptoms like aches and pains. This is known as somatic complaints. Children may find it difficult to articulate their emotions verbally, so physical symptoms may manifest instead. Option A is incorrect as talking about scary novels is not a common response to grief in children. Option C is incorrect as fear of leaving home is more associated with separation anxiety. Option D is incorrect as becoming obsessed with religious rituals is not a typical response to grief in children.
Question 3 of 5
A client's husband is visiting his wife during visiting hours. A nurse walking by hears him verbally abuse the client. Which nursing response is appropriate?
Correct Answer: B
Rationale: The correct answer is B because reminding the client's husband of the unit rules is the appropriate nursing response in this situation. This action sets clear boundaries and addresses the inappropriate behavior directly. Asking the client to ask her husband to leave (Option A) puts the burden on the client and may escalate the situation. Asking the husband to come to the nurse's station (Option C) may not address the immediate need to address the abusive behavior. Sitting with the client and her husband to discuss anger issues (Option D) is not appropriate at this time as it does not address the immediate need to stop the verbal abuse.
Question 4 of 5
A patient is prescribed medication for a psychiatric disorder. After 3 days, the patient tells the nurse that he or she has been constipated. Which instruction would the nurse give the patient?
Correct Answer: B
Rationale: The correct answer is B because constipation is a common side effect of psychiatric medications, often due to decreased gastrointestinal motility. Eating more fruits and vegetables and drinking more water can help alleviate constipation by increasing fiber intake and hydration. Option A is incorrect as high-protein foods can worsen constipation. Option C is unnecessary as dietary adjustments should be tried first. Option D is incorrect as constipation may persist and needs active management.
Question 5 of 5
A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.
Correct Answer: C
Rationale: Correct Answer: C. Assess the patient's weight; determine foods and amounts eaten. Rationale: The best initial action is to assess the patient's nutritional status by evaluating weight and food intake. This step helps identify potential malnutrition or other health issues related to the patient's eating habits. By understanding the patient's dietary patterns, the nurse can develop a targeted intervention plan to address the patient's physical health needs. This approach focuses on gathering essential information before making any further decisions or interventions. Summary of Other Choices: A: Exploring ways to help the patient stop smoking is important but addressing the patient's nutritional needs takes precedence. B: Reporting to the shelter manager may not directly address the patient's health concerns and may not lead to appropriate intervention. D: Hospitalization should be considered only if there is an immediate threat to the patient's health and after a comprehensive assessment has been conducted.