ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN?
Correct Answer: A
Rationale: The correct answer is A because attempting to physically restrain an aggressive client can escalate the situation and potentially result in harm to both the client and the mental health worker. It is crucial for the RN to intervene immediately to prevent any physical confrontation and ensure safety for all individuals involved.
Choice B is incorrect because maintaining a safe distance from an aggressive client is a recommended practice to ensure personal safety.
Choice C is incorrect as guiding the client to a quiet area can be a de-escalation technique.
Choice D is incorrect as using a loud voice may be necessary to communicate effectively in a tense situation. It is important to prioritize safety and de-escalation techniques when caring for clients with escalating aggressive behavior.
Question 2 of 5
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
Correct Answer: A
Rationale: The correct answer is A: Screening a group of males between the ages of 15 and 25 for early symptoms. This intervention is well chosen because schizophrenia typically emerges in late adolescence to early adulthood, with males having a higher risk during this age range. Screening for early symptoms allows for early detection and intervention, improving outcomes.
Choice B is incorrect as it targets a different population group with substance use issues, not specifically at high risk for schizophrenia.
Choice C is incorrect as it focuses on coping skills for an age group less at risk for developing schizophrenia.
Choice D is incorrect as it targets developmentally delayed children, not a population at high risk for schizophrenia.
Question 3 of 5
The nurse leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Redirect him by encouraging him to read from the handout. This is the best nursing action because it addresses the client's disruptive behavior by redirecting his focus back to the task at hand, which is learning about anger management. By encouraging him to read from the handout, the nurse helps him engage with the material, potentially reducing his fidgetiness and interrupting behavior.
Choice A (Give the client permission to leave and return in 10 minutes) could reinforce the disruptive behavior.
Choice B (Explore the client’s feelings about his pets and home life) may not address the immediate issue of his disruptive behavior.
Choice C (Encourage his peers to help involve him in the activity) may not effectively address the client's behavior and could potentially create more disruptions.
Question 4 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: B
Rationale: The correct answer is B: Teach the client to develop a plan for daily structured activities. This intervention is effective because it addresses the symptoms of psychomotor retardation, hypersomnia, and motivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of purpose, motivation, and routine, which can improve mood and functioning. Providing education on sleep (choice
A) may help with hypersomnia but does not address the overall lack of motivation and engagement. Developing a list of pleasurable activities (choice
C) may not provide the necessary structure and routine needed for improvement. Encouraging exercise (choice
D) can be beneficial but may be challenging for someone with psychomotor retardation.
Question 5 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is a melatonin receptor agonist that does not have abuse potential or risk of dependence, making it a suitable choice for patients with substance use disorder. Patients with substance use disorder are at higher risk for developing dependence on traditional hypnotics, such as benzodiazepines or Z-drugs.
Choice A, B, and C are incorrect because ramelteon does not specifically target symptoms of obsessive-compulsive disorder, generalized anxiety disorder, or persistent depressive disorder.