ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: D
Rationale: Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care. Isolation strict limits or confrontation can increase anxiety and worsen compulsive behaviors.
Question 2 of 5
A patient with bipolar II disorder is most likely to experience:
Correct Answer: C
Rationale: Bipolar II disorder is characterized by hypomanic episodes that alternate with major depressive episodes. Hypomania is a less severe form of mania and individuals with bipolar II do not experience full manic episodes as in bipolar I. Persistent low-grade depression without hypomania is not typical psychosis is more common in bipolar I and severe manic episodes are also characteristic of bipolar I.
Question 3 of 5
A 25-year-old patient with generalized anxiety disorder presents to the ED with shortness of breath,dizziness,and tingling in the fingers. The nurse reviews the ABG results: pH: 7.50 PaCO2: 30 mmHg HCO3: 24 mEq/L. What is the most likely acid-base imbalance?
Correct Answer: C
Rationale: Respiratory alkalosis is indicated by a pH of 7.50 (alkalosis) and a PaCO2 of 30 mmHg which is lower than the normal range (35-45 mmHg). This low PaCO2 suggests that the patient is hyperventilating likely due to anxiety which causes the body to excrete too much CO2. Other options do not match the lab results.
Question 4 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: D
Rationale: Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care. Isolation strict limits or confrontation can increase anxiety and worsen compulsive behaviors.
Question 5 of 5
A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?
Correct Answer: B
Rationale: Gradual exposure to feared situations is a common treatment for agoraphobia. Sitting on a park bench for a few minutes each day represents a reasonable and incremental goal showing understanding of the treatment approach. Other options are too ambitious or counterproductive.