ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
Correct Answer: A
Rationale: The correct answer is A: Decrease anxiety. In the context of OCD, constant repetitive cleaning is a common compulsive behavior aimed at reducing anxiety related to obsessive thoughts. Cleaning provides a sense of control and temporary relief from anxiety.
Choice B is incorrect because cleaning is not typically aimed at preventing aggression or impulsivity.
Choice C is incorrect as cleaning behavior in OCD is not intended to manipulate others.
Choice D is incorrect because the primary goal of cleaning in OCD is not to decrease interaction time but rather to alleviate anxiety.
Question 2 of 5
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answer includes substance use disorder (
A), age greater than 45 years old (
B), and schizophrenia (E) as risk factors for suicide. Substance use disorder can lead to impaired judgment and increased impulsivity, increasing the risk of suicidal behavior. Individuals over 45 years old often face life changes such as retirement or health issues that can contribute to feelings of hopelessness. Schizophrenia is a severe mental illness associated with a higher risk of suicide due to symptoms such as hallucinations and delusions.
Choices C and D (female gender and currently married) are incorrect as suicide rates are higher in males and marital status alone does not determine suicide risk.
Question 3 of 5
A nurse is assessing a client experiencing chronic stress. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperglycemia. Chronic stress triggers the release of cortisol and adrenaline, leading to increased blood sugar levels. This physiological response can result in hyperglycemia. A: Hypotension is unlikely as stress often causes increased blood pressure. B: Increased energy may occur initially due to the body's fight-or-flight response but chronic stress typically leads to fatigue. C: Increased cognitive awareness is less likely as chronic stress can impair cognitive function. Summary: A is incorrect because hypotension is not a typical finding in chronic stress. B is incorrect as chronic stress usually leads to fatigue, not increased energy. C is incorrect as chronic stress can impair cognitive function, rather than enhance it.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: C
Rationale: Valproate is metabolized in the liver, requiring regular liver function monitoring.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. The nurse should explain that antidepressants often take several weeks to be fully effective. Citalopram, like other antidepressants, typically takes around 4-6 weeks to show significant improvement in depressive symptoms. It is important for the nurse to educate the client about the delayed onset of action to manage expectations and encourage adherence to the treatment plan. Adding an MAOI (choice
A) or changing the medication (choice
C) prematurely is not recommended as the current medication may still be effective with more time. Recommending a sleep study (choice
D) is not necessary at this point as the client's sleep issues are likely related to the underlying depression.