ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
Correct Answer: A
Rationale: The correct answer is A: Not sleeping for several days. This is the most important statement to explore because it indicates potential severe distress and disruption in the client's sleep patterns, which can have significant impacts on mental and physical health. Lack of sleep can exacerbate symptoms of depression and increase the risk of suicide. It is crucial for the RN to assess the severity of the sleep disturbance and intervene appropriately to ensure the client's safety and well-being.
The other choices (B, C,
D) are also important concerns, but not as urgent as the client's severe sleep disturbance. Wishing to be with the deceased spouse, lack of interest in usual activities, and eating very little are all common symptoms of grief and depression, but they do not pose an immediate risk to the client's health and safety compared to the potential consequences of severe sleep deprivation.
Question 2 of 5
In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Premature termination of services. When there is a lack of community-based resources and long waiting lists for services in pediatric mental health, it often leads to premature termination of services. This is because families may become discouraged or face obstacles in accessing consistent care, resulting in discontinuity of treatment. This can have negative consequences on the child's mental health outcomes.
Choice A is incorrect because it focuses on underserving specific demographics rather than the consequences of limited resources.
Choice B is incorrect as increased stress in the family unit may be a result of the lack of resources but is not a direct consequence.
Choice C is incorrect since the lack of resources does not equate to increased funding.
Question 3 of 5
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN?
Correct Answer: A
Rationale: The correct answer is A because attempting to physically restrain an aggressive client can escalate the situation and potentially result in harm to both the client and the mental health worker. It is crucial for the RN to intervene immediately to prevent any physical confrontation and ensure safety for all individuals involved.
Choice B is incorrect because maintaining a safe distance from an aggressive client is a recommended practice to ensure personal safety.
Choice C is incorrect as guiding the client to a quiet area can be a de-escalation technique.
Choice D is incorrect as using a loud voice may be necessary to communicate effectively in a tense situation. It is important to prioritize safety and de-escalation techniques when caring for clients with escalating aggressive behavior.
Question 4 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D: Escort the client to his room. This intervention is appropriate as it addresses the behavior causing annoyance while also ensuring the client's needs are met in a compassionate and non-punitive manner. By escorting the client to his room, the nurse can provide a safe and quiet environment for the client to calm down and reduce the echolalia behavior. This approach respects the client's dignity and promotes a therapeutic environment. The other choices are incorrect because avoiding recognizing the behavior (
A) does not address the issue, isolating the client (
B) may worsen the client's symptoms and social isolation, administering a sedative (
C) should only be done as a last resort due to potential side effects and ethical considerations.
Question 5 of 5
Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Administer a medication such as benztropine IM to correct this dystonic reaction. The patient is exhibiting signs of acute dystonia, a side effect of haloperidol characterized by sustained muscle contractions. Benztropine is an anticholinergic medication that can help alleviate these symptoms quickly. Holding the medication (option
A) is not the priority as the immediate focus should be on managing the acute symptoms. Wiping with cold water or alcohol (option
B) may provide temporary relief but does not address the underlying issue. Reassuring the patient about tardive dyskinesia (option
D) is not relevant at this point as the priority is to address the acute dystonic reaction.