ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me all the time, and they are trying to poison my food." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You seem to be having very frightening thoughts." This response acknowledges the client's feelings without denying their beliefs. It shows empathy and validates the client's experience, promoting trust and rapport. Answer A is dismissive and may lead to defensiveness. Answer C may come off as confrontational. Answer D may encourage the client to elaborate on paranoid beliefs. Overall, choice B is the most therapeutic and supportive response in this situation.
Question 3 of 5
A nurse is caring for a client who has a depressive disorder. The client states, "I just can't feel any happiness or joy in life." Which of the following terms should the nurse use when documenting this finding?
Correct Answer: A
Rationale: The correct answer is A: Anhedonia. Anhedonia refers to the inability to experience pleasure or joy, which is a common symptom of depressive disorders. In this scenario, the client explicitly mentions the inability to feel happiness or joy, aligning with the definition of anhedonia.
B: Anergia refers to lack of energy or physical weakness, which is not directly related to the client's statement.
C: Anosognosia is a lack of awareness or insight into one's own condition, which is not the same as the client's statement about the inability to feel happiness or joy.
D: Akathisia is a movement disorder characterized by restlessness and the inability to sit still, which is not relevant to the client's statement.
Question 4 of 5
A nurse is admitting a client who is exhibiting manic behavior. The client reports recent personal stressors including the loss of her mother and a divorce. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Safety is the priority for clients experiencing manic episodes, as they are at risk for self-harm.
Question 5 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism. Thyroid function tests can help diagnose this condition. Pancreatitis (
A), cholecystitis (
B), and tuberculosis (
C) are not typically associated with major depressive episodes. The nurse should focus on ruling out medical conditions that are more likely to cause mood disturbances.
Therefore, hypothyroidism is the most appropriate condition to investigate in this scenario.