ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following nursing responses should the nurse manager make?
Correct Answer: D
Rationale: The correct answer is D: "I can review the assignments and arrange for a female nurse to care for you." This response respects the client's preference for a female caregiver, prioritizing her comfort and sense of safety. It acknowledges and addresses the client's concerns promptly and professionally.
Option A is incorrect because it only offers a female assistive personnel for personal hygiene care, not the nurse, which may not fully address the client's request. Option B is incorrect as it focuses on the nurse's capability rather than the client's comfort. Option C is incorrect as it dismisses the client's preference by comparing it to the doctor's gender. The correct response should prioritize the client's emotional well-being and autonomy.
Question 2 of 5
A nurse on an acute mental health unit is caring for a client who has major depressive disorder. Which of the following interventions is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: Monitor for risk of self-harm. This is the priority because individuals with major depressive disorder have an increased risk of suicidal ideation and behavior. By monitoring for self-harm, the nurse can ensure the client's safety and intervene promptly if necessary. Administering antidepressants (choice
B) is important but not the priority as it may take time to show therapeutic effects. Encouraging fluid intake (choice
C) and assisting with activities of daily living (choice
D) are important aspects of care but do not address the immediate safety concern of self-harm.
Question 3 of 5
A nurse in an acute care facility is admitting an older adult client who has dementia due to Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more and more difficult to care for his wife. Which of the following interventions is the nurse’s priority?
Correct Answer: C
Rationale: The correct answer is C: Ask the partner to talk about his difficulties in caring for the client. The nurse's priority should be to assess the partner's current situation and provide support. By encouraging the partner to talk about his difficulties, the nurse can better understand his needs and concerns. This open communication can help identify specific challenges the partner is facing and enable the nurse to offer appropriate resources and assistance. This intervention focuses on addressing the partner's immediate emotional and practical needs, which is crucial in ensuring the well-being of both the partner and the client.
Summary:
A: Recommending placing the client in a long-term care facility is not the priority as the partner's well-being and coping strategies need immediate attention.
B: Suggesting counseling for the partner is beneficial but addressing his current emotional state and needs should come first.
D: Calling a family meeting may be helpful, but immediate support for the partner should be the priority.
Question 4 of 5
A nurse is assessing a client who has a diagnosis of conversion disorder. Which of the following is an expected finding?
Correct Answer: D
Rationale: Conversion disorder involves neurological symptoms such as blindness or paralysis without a medical cause.
Question 5 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Correct Answer: A, B, C, E
Rationale: The correct answer includes characteristics that are commonly associated with obsessive-compulsive disorder (OC
D).
A: Difficulty relaxing - Individuals with OCD often experience persistent intrusive thoughts or obsessions, leading to heightened anxiety and difficulty relaxing.
B: Irrational fear of certain objects - OCD can manifest as specific fears or obsessions that are irrational and intrusive, causing distress and leading to compulsive behaviors.
C: Rule-conscious behavior - People with OCD tend to adhere rigidly to self-imposed rules or rituals to manage their anxiety and obsessions.
E: Perfectionist behavior - Perfectionism is a common trait in individuals with OCD, as they may feel the need to perform tasks perfectly to alleviate anxiety associated with obsessions.
Incorrect choices:
D: Unaware of compulsions - Individuals with OCD are usually aware of their compulsive behaviors, as these actions are driven by the need to reduce anxiety related to obsessions.