ATI RN
ATI N200 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
A client with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. What is/are the most appropriate nursing intervention(s)? (SELECT ALL THAT APPLY)
Correct Answer: A ,C ,D
Rationale:
Correct
Answer: A, C, D
Rationale:
A: Assisting the client to develop more effective coping mechanisms is crucial in preventing future suicide attempts by enhancing their ability to manage stress and emotions.
C: Identifying community resources for the client to use in a crisis ensures access to immediate support and assistance during times of distress or potential relapse.
D: Educating the family about providing a safe and structured environment helps create a supportive and secure setting that reduces the risk of suicide attempts by promoting a stable and caring environment.
Summary of Incorrect
Choices:
B: Having a one-to-one sitter for outpatient use may not be practical or feasible in an outpatient setting and may not address the underlying issues contributing to the client's suicidal ideation.
E: Isolating the client from all stressful situations is not a sustainable long-term solution and may hinder the client's ability to learn and practice coping strategies in real-life situations.
Question 2 of 5
The nurse is aware that the major health complication associated with anorexia nervosa is:
Correct Answer: A
Rationale: The correct answer is A: Cardiac dysrhythmia resulting in cardiac arrest. In anorexia nervosa, severe weight loss and malnutrition can lead to electrolyte imbalances, particularly potassium and magnesium, which can disrupt the normal electrical activity of the heart, causing dysrhythmias and potentially leading to cardiac arrest. This is a life-threatening complication of anorexia nervosa.
Choices B, C, and D are not the major health complications associated with anorexia nervosa.
Choice B, endocrine imbalance causing amenorrhea, is a common complication but not the major health complication.
Choice C, decreased metabolism causing cold intolerance, and choice D, glucose intolerance resulting in hypoglycemia, are not the primary complications associated with anorexia nervosa.
Question 3 of 5
A nurse is meeting with a 15-year-old client who has ADHD. The client and their parent state they would like their medications stopped due to the unpleasant side effects. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about what unpleasant effects you have been experiencing." This response allows the nurse to gather more information about the specific side effects the client is experiencing, enabling a more tailored and informed discussion. By listening actively and empathetically, the nurse can address the concerns effectively and explore alternative solutions.
Choice B: "Stop taking the medication immediately" is incorrect as it is important to understand the reasons behind the decision before taking action. Abruptly stopping medication can have negative consequences.
Choice C: "I'll get the physician to discuss this situation" is not the best initial response as the nurse should first gather information and provide support before involving the physician.
Choice D: "It's important to take the medication as prescribed" is not appropriate in this situation as the client has expressed a desire to stop the medication due to side effects. Encouraging adherence without addressing concerns may lead to non-compliance.
Question 4 of 5
An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused malnourished and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts not allowing the client to answer. Which of the following nursing interventions is a priority?
Correct Answer: D
Rationale: The correct answer is D: Interview the client alone and assess for abuse. This is the priority intervention because the client's confusion, malnourishment, dehydration, and reluctance to speak may indicate potential abuse. By interviewing the client alone, the nurse can establish trust, assess for signs of physical or emotional abuse, and ensure the client's safety. Providing nutritional counseling (Option
A) is important but not the priority in this situation. Requesting a psychiatric evaluation (Option
B) may be necessary later but does not address the immediate safety concern. Taking the history from the daughter (Option
C) may not allow the client to express herself freely.
Question 5 of 5
The nurse observes dental deterioration when assessing a client diagnosed with Bulimia Nervosa. Which best explains this assessment finding?
Correct Answer: D
Rationale: The correct answer is D. Emesis from purging corrodes the tooth enamel. When a client with Bulimia Nervosa engages in purging behaviors such as self-induced vomiting, the stomach acid comes into contact with the teeth, leading to erosion of the tooth enamel. This results in dental deterioration and an increased risk of cavities and tooth sensitivity.
Choices A, B, and C do not directly address the specific mechanism of dental deterioration seen in individuals with Bulimia Nervosa.
Choice A focuses on ingestion rather than the effects of purging on dental health.
Choice B mentions oral hygiene but does not explain the direct impact of purging on tooth enamel.
Choice C references calcium depletion but does not address the erosion of tooth enamel caused by purging.