ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: B
Rationale: The correct answer is B: The client is constantly talking. In mania, individuals often exhibit rapid speech, talking excessively and rapidly due to racing thoughts. This is a key feature of mania in bipolar disorder. Expressing feelings of inferiority (choice
A) is more indicative of depression. Sleeping over 10 hours a day (choice
C) is more characteristic of depression or sedation from medication. Memory loss (choice
D) can occur in various conditions but is not specific to mania.
Question 2 of 5
A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: Inform the client that feelings of anger are expected. This is the priority because acknowledging and normalizing the client's emotions, such as anger, is crucial in the grieving process. It helps the client feel validated and understood, promoting emotional healing. Discussing the use of a spiritual grief counselor (
A) may be helpful, but addressing the client's immediate emotional needs comes first. Identifying the client's current stage of grief (
B) is important, but addressing their feelings of anger takes precedence. Encouraging participation in physical activities (
D) may be beneficial for overall well-being, but it does not directly address the client's emotional turmoil.
Question 3 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: B
Rationale: The correct answer is B. Implementing measures to prevent intentional self-inflicted injury is the priority for a client with borderline personality disorder as it addresses the immediate safety concern. Self-harm is common in this population, so ensuring the client's safety is paramount. Encouraging the client to attend support group meetings (
Choice
A) may be beneficial but does not address the immediate safety issue. Assisting the client to maintain awareness of thoughts and feelings (
Choice
C) and discussing assertive behavior (
Choice
D) are important but addressing safety comes first.
Question 4 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale:
Correct Answer: A - Have you noticed an increase in thirst?
Rationale: Olanzapine, an antipsychotic medication, can cause side effects such as increased thirst due to its anticholinergic properties. Asking the client about increased thirst can help monitor for potential side effects.
Summary:
B: Unintentional weight loss is not a common side effect of olanzapine, so it is not a priority question.
C: Ringing in the ears is not typically associated with olanzapine use, so this question is not relevant.
D: Decreased taste is not a common side effect of olanzapine, making this question less important than asking about increased thirst.
Question 5 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: A
Rationale: The correct answer is A: Participate in solitary activities with a client who has mania. Assistive personnel can engage in activities that provide social interaction and support for clients with mania. This task does not require specialized nursing knowledge or assessment skills. The other choices involve providing education, obtaining consent, or explaining treatment modalities, which should be done by a licensed nurse due to the complexity and potential risks involved. It is important to delegate tasks that align with the assistive personnel's scope of practice and level of training to ensure safe and effective client care.