ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Ask him to describe what he is feeling. This response allows the nurse to assess the client's specific concerns and fears regarding the surgery, which can help tailor the support and interventions provided. By encouraging the client to express his emotions, the nurse can establish rapport, build trust, and provide individualized care. Options B, C, and D do not address the client's emotional state directly and may not effectively address his anxiety. Reading material or walking may not alleviate his anxiety, and referring to the pastoral care team may not address his immediate concerns. Overall, option A promotes effective communication and understanding of the client's emotional needs.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Significant change in weight. In major depressive disorder (MD
D), clients commonly experience changes in appetite, leading to weight loss or gain. This occurs due to alterations in serotonin levels affecting hunger and satiety. Weight changes are often associated with feelings of worthlessness and guilt in MDD. Hyperexcitability (
B) is not a typical finding in MDD, as individuals with depression often report feeling fatigued or lethargic. Exaggerated response to stimuli (
C) is more indicative of anxiety disorders rather than MDD. Attention-seeking behavior (
D) is not a characteristic symptom of MDD but may be seen in other mental health conditions.
Question 3 of 5
A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because identifying precipitating factors for rituals helps the nurse understand triggers for OCD behaviors. This knowledge can guide interventions to prevent or manage these behaviors effectively. Discussing coping strategies (
A), teaching relaxation techniques (
C), or providing a structured activity schedule (
D) would be premature without understanding the root cause. In summary, addressing the triggers is crucial in managing OCD behaviors effectively.
Question 4 of 5
A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: A
Rationale: The correct answer is A: Affective flattening. Negative symptoms refer to deficits in normal emotional responses or behaviors. Affective flattening specifically involves a reduction in the range and intensity of emotional expression. This is commonly seen in individuals with schizophrenia and can impact their ability to communicate and engage with others. Bizarre behavior (choice
B), illogicality (choice
C), and somatic delusions (choice
D) are not negative symptoms but rather positive symptoms, which involve the presence of abnormal behaviors or beliefs. Bizarre behavior refers to actions that are unusual or out of the ordinary, illogicality refers to disorganized thinking, and somatic delusions involve false beliefs about the body.
Question 5 of 5
A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?
Correct Answer: A
Rationale: The correct answer is A. Seclusion is contraindicated for an adult client following a suicide attempt due to the risk of exacerbating feelings of isolation and hopelessness. Seclusion should not be used as a punitive measure for clients in distress.
Choice B is incorrect because seclusion may be necessary to protect staff from physical harm.
Choice C is incorrect as seclusion could be used as a last resort to prevent harm to other clients.
Choice D is incorrect because seclusion may help calm and provide a safe environment for an older adult client experiencing overstimulation.