ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?
Correct Answer: B
Rationale: The correct answer is B: The client's best friend moved away. This factor may interfere with the client's recovery from coronary artery bypass surgery because social support plays a crucial role in reducing stress and promoting healing. Losing a close friend can lead to feelings of loneliness and isolation, which can negatively impact the client's emotional well-being and recovery process.
A: The client walks their dog daily - Regular physical activity is beneficial for recovery and stress management.
C: The client exercises in the morning - Regular exercise is important for recovery and stress relief.
D: The client has stopped drinking coffee - This alone is unlikely to significantly interfere with recovery.
In summary, choice B is correct as it directly affects the client's emotional state, while the other choices are less likely to interfere with recovery from coronary artery bypass surgery.
Question 2 of 5
A nurse is caring for a client who states, 'Things will never work out.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Have you been thinking about harming yourself?" This response is crucial as it directly addresses the client's statement indicating hopelessness, showing concern for their safety. It opens a dialogue about potential suicidal ideation, allowing the nurse to assess the client's risk and provide appropriate intervention.
Choice B focuses on the reason behind the client's feelings but doesn't address the immediate concern of safety.
Choice C is dismissive and doesn't address the gravity of the client's statement.
Choice D suggests a medication solution without proper assessment. It's important to prioritize safety and risk assessment in such situations.
Question 3 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: D
Rationale: The correct answer is D: "I don't feel anything but numbness anymore." This statement indicates emotional blunting, a common symptom of clinical depression where individuals experience a lack of emotions or feeling disconnected. This is a concerning sign as it suggests a significant impact on the client's emotional well-being. Reporting this to the provider is crucial for further evaluation and potential intervention.
Incorrect choices:
A: This statement reflects a normal response to grief, as it acknowledges the time needed for healing.
B: Seeking support from family is a healthy coping mechanism during bereavement.
C: Expressing anger is also a common grief response and does not necessarily indicate clinical depression.
Question 4 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale:
1. When the client can follow commands, it indicates cognitive ability and cooperation.
2. Following commands shows the client's ability to understand and respond appropriately.
3. Removal of restraints should be based on the client's ability to cooperate and follow instructions.
4. This criterion ensures the client's safety while also promoting autonomy and dignity.
Summary:
A: Orientation to person, place, and time is important but not directly related to the need for restraint removal.
B: Client's statement about self-harm requires further assessment and intervention but does not directly indicate restraint removal.
D: Medication refusal is a separate issue and does not determine the need for restraint removal.
Question 5 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. A client reporting eating twice in the past week is a critical finding that should be reported to the provider because it indicates a potential risk of malnutrition, which can have serious health consequences. This finding suggests a lack of self-care and potentially severe neglect of basic needs.
Choices A, B, and C are typical behaviors associated with mania and are concerning but do not directly indicate immediate physical health risks. Reporting inappropriate sexual comments or poor hygiene can be addressed during treatment but do not pose an immediate threat to the client's physical health like severe malnutrition does.