ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A client with a history of substance abuse is admitted to an acute care facility. Which of the following actions should the nurse perform first?
Correct Answer: C
Rationale: The correct answer is C: Assess the client for signs of withdrawal. This should be the first action because withdrawal symptoms can be life-threatening and need immediate attention. The nurse must assess the client's physical and mental status to determine the severity of withdrawal and provide appropriate interventions. Obtaining a complete health history from the client (
A) may be important but not as urgent as assessing for withdrawal symptoms. Administering medications prescribed for detoxification (
B) should only be done after assessing the client's withdrawal symptoms. Planning discharge goals with the family (
D) is premature and should be done after stabilization.
Question 2 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions by the client should the nurse interpret as a compulsive behavior?
Correct Answer: B
Rationale: The correct answer is B because handwashing rituals are a common compulsive behavior in individuals with OCD. These rituals are performed in an attempt to reduce anxiety or prevent harm related to obsessive thoughts. Continual thoughts about death (
A) may be distressing but not necessarily a compulsive behavior. Fears of contamination (
C) are common in OCD, but expressing these fears alone does not indicate a compulsive behavior. Excessive dependency on others (
D) may be a sign of another mental health issue, such as dependent personality disorder, but not specific to OCD compulsions.
Question 3 of 5
A nurse in an outpatient clinic is caring for a client who has depression. Which of the following actions should the nurse take to assist the client in coping with feelings of depression?
Correct Answer: C
Rationale: The correct answer is C: Plan a daily walking schedule with the client. Walking is a form of physical activity that can help improve mood and reduce symptoms of depression by releasing endorphins. It promotes relaxation and boosts self-esteem. Increasing caffeine intake (
A) can worsen anxiety and disrupt sleep patterns. Spending time alone (
B) may lead to isolation and exacerbate feelings of loneliness. Administering antianxiety medication (
D) is not an appropriate intervention for depression without proper assessment and prescription by a healthcare provider.
Question 4 of 5
A nurse is admitting a client who has bipolar disorder and is in a manic state to an acute mental health facility. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with high-calorie finger foods. In a manic state, clients with bipolar disorder may have increased energy expenditure and decreased sleep and appetite. Providing high-calorie finger foods helps meet their increased energy needs and prevents malnutrition. It also helps stabilize their mood by regulating blood sugar levels. A: Encouraging participation in a group activity may exacerbate manic symptoms. C: Administering a sedative should be considered after addressing immediate physiological needs. D: Placing the client in a room near the nurses’ station may not address the client's immediate physiological needs.
Question 5 of 5
A nurse in a mental health facility is caring for a client who has generalized anxiety disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A: Instruct the client to meditate when feeling anxious.
Rationale: Meditation promotes relaxation, reduces stress, and helps manage anxiety symptoms effectively. It encourages mindfulness and aids in calming the mind and body, which is beneficial for clients with generalized anxiety disorder. It is a non-invasive, drug-free technique that can be easily practiced by the client to cope with anxiety.
Incorrect
Choices:
B: Encouraging the client to avoid social interactions can worsen the client's symptoms by increasing isolation and reducing social support, which is essential for managing anxiety.
C: While writing down anxious thoughts can be a helpful therapeutic technique, it may not be the most effective immediate action to manage acute anxiety symptoms.
D: Administering an antidepressant immediately may not be appropriate without a proper assessment and prescription from a healthcare provider. Medication should be prescribed based on the client's individual needs and under medical supervision.