ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 5
The nurse is caring for a client with major depression. The client tells the nurse that she just isn't sure that life is worth living. The nurse documents which nursing diagnosis as the priority?
Correct Answer: B
Rationale: The correct answer is B: Hopelessness related to symptoms of depression. This is the priority nursing diagnosis because the client expressing uncertainty about the value of life indicates a profound sense of hopelessness, which is a significant concern in major depression. By addressing hopelessness, the nurse can work towards improving the client's outlook on life and potential suicidal ideation. Choices A, C, and D are incorrect as self-esteem, anxiety, and thought processes may be influenced by depression but do not directly address the client's expressed feelings of hopelessness and worthlessness. Hopelessness is the most critical issue to address in this scenario to ensure the client's safety and well-being.
Question 2 of 5
A client diagnosed with male orgasmic dysfunction is receiving desensitization as part of the treatment plan. The nurse understands that this treatment focuses on achieving which of the following?
Correct Answer: D
Rationale: Desensitization aims to reduce anxiety and fear associated with sexual activity in male orgasmic dysfunction. By gradually exposing the client to sexual stimuli and teaching relaxation techniques, anxiety and fear decrease, leading to improved sexual function. Choices A, B, and C are incorrect as desensitization primarily targets anxiety and fear, not pressure to perform, pleasure awareness, or spectatoring.
Question 3 of 5
A nurse is providing care to a client with Alzheimer's disease who is exhibiting suspiciousness and delusional thinking. Which of the following would be most important for the nurse to do with this client?
Correct Answer: D
Rationale: The correct answer is D, determining the trigger for the distorted thinking. This is important as it helps identify potential causes of the client's suspiciousness and delusional thinking, allowing for targeted interventions. Option A may increase client distress. Option B may lead to conflict. Option C may invalidate the client's experiences.
Question 4 of 5
A 22-year-old college student was involved in an automobile accident that resulted in permanent cognitive and physical disability. The client feels guilty about his friend's death in the accident. Which of the following would be a priority assessment for this client?
Correct Answer: A
Rationale: Correct Answer: A - Risk for suicide Rationale: Given the client's feelings of guilt and the significant life-altering consequences of the accident, assessing the risk for suicide is crucial to ensure the client's safety and well-being. Suicidal ideation may be present due to overwhelming guilt and disability. Summary of other choices: B: Level of depression - While important, assessing depression is secondary to assessing the immediate risk of suicide in this scenario. C: Social support systems - While social support is important, assessing the risk for suicide takes precedence in this high-risk situation. D: Financial status - While financial concerns may be relevant, they are not the priority in this case where the client's mental health and safety are at stake.
Question 5 of 5
A nurse is caring for a client receiving IV moderate sedation with midazolam. The client has a respiratory rate of 9/min and is not responding to commands. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Implement positive pressure ventilation. This action is appropriate because the client's respiratory rate of 9/min indicates hypoventilation, which can lead to hypoxemia and respiratory arrest. Positive pressure ventilation helps support adequate oxygenation and ventilation. Placing the client in a prone position (choice A) can further compromise breathing. Nasopharyngeal suctioning (choice C) is not indicated unless airway obstruction is confirmed. Administering flumazenil (choice D) is contraindicated in clients with significant respiratory depression due to the risk of precipitating seizures.