ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
Setting a specific limit on the number of times the client can check the door is the most appropriate intervention because it addresses the client's compulsive behavior while also providing structure and boundaries. By setting limits, the client can gradually learn to trust the initial checking and reduce the need for reassurance, promoting independence and self-regulation. This intervention also aligns with cognitive-behavioral therapy principles for treating OCD by encouraging exposure and response prevention.
Summary of other choices:
B: Helping the client find an alternative activity does not directly address the compulsive checking behavior associated with OCD.
C: Providing consistent reassurance reinforces the client's checking behavior and does not promote long-term independence.
D: Ignoring the checking behavior may lead to increased anxiety and does not address the underlying issue of OCD.
Question 2 of 5
Which activity is most appropriate for a child with ADHD?
Correct Answer: D
Rationale: The correct answer is D: Tennis. Physical activities like tennis can help children with ADHD by allowing them to release excess energy and improve focus through movement. Tennis also promotes social interaction, teaches impulse control, and enhances coordination skills. Reading (
A) may be challenging for a child with ADHD due to difficulties in sustained attention. Monopoly (
B) requires long periods of focus, which may be challenging for a child with ADHD. Checkers (
C) involves strategic thinking but may not provide enough physical activity.
Question 3 of 5
During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process?
Correct Answer: B
Rationale: The correct answer is B. Remaining calm and using a matter-of-fact approach is important to provide reassurance and a sense of security to the client. By staying composed, the nurse can help the client feel supported and understood, reducing her anxiety. This approach helps to establish trust and promote effective communication.
A: While assisting the client in developing alternative coping skills is important, in this acute situation, immediate reassurance and support are needed first.
C: Asking the client why she is anxious may be overwhelming and may not provide immediate relief.
D: Administering a sedative should be a last resort and should not be the initial intervention in this case.
Question 4 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 5 of 5
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
Correct Answer: D
Rationale: The correct answer is D: She should experience a reduction in hallucinations. First-generation antipsychotic medications are primarily used to treat positive symptoms of schizophrenia, such as hallucinations and delusions. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations. Memory problems (choice
A) are a common side effect of first-generation antipsychotics and are not expected to decrease. Depressive episodes (choice
B) are not directly treated by first-generation antipsychotics. Enjoying social interactions more (choice
C) is not a typical effect of these medications. In summary, the correct information to provide to the patient is that the medication should help reduce her hallucinations.