ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client who has bipolar disorder approaches the nurse and reveals fresh,self-inflicted,superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The first action is to inspect the cuts for any debris to ensure proper wound care. Cleaning the wounds and assessing their severity is necessary to prevent infection. Documentation tetanus administration and behavioral plans are important but secondary to immediate wound care.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Rapid continuous speech spending large sums of money and flirtatious behavior are indicative of mania characterized by pressured speech impulsivity and inappropriate social interactions. Sleeping for long periods and dressing in dark clothing are more associated with depression.
Question 3 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: D
Rationale: Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care. Isolation strict limits or confrontation can increase anxiety and worsen compulsive behaviors.
Question 4 of 5
A symptom commonly associated with panic attacks?
Correct Answer: A
Rationale: A common symptom of panic attacks is the intense feeling of fear of impending doom which can overwhelm the individual during an attack. Obsessions are linked to OCD apathy to depression and fever to physical illness not panic attacks.
Question 5 of 5
A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: D
Rationale: Consistent routines help provide structure and security for clients in the manic phase reducing confusion and promoting stability. Seclusion stimulating environments and discouraging naps can increase agitation or disrupt stability.