ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, “I'm being kept in this prison against my will. Please try to get me out.” Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Reassuring the client while maintaining the reality of the situation helps manage delusional thoughts.
Question 2 of 5
A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Providing for adequate hydration and rest. This is the priority because alcohol detoxification can lead to dehydration and withdrawal symptoms that can be life-threatening. Hydration and rest are essential to stabilize the client's physical condition.
Choice A is incorrect because focusing on positive personality traits is important but not the priority in the acute phase of detoxification.
Choice C is incorrect because confronting denial and defense mechanisms may be necessary but should be approached cautiously and not as the immediate priority.
Choice D is incorrect because educating the client about consequences is important for long-term recovery but not the priority during the acute phase of detoxification.
Question 3 of 5
A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding?
Correct Answer: C
Rationale: Rationale for
Choice C being correct: The statement "I will develop a decreased physical response to alcohol" indicates an understanding of alcohol tolerance, where the body requires more alcohol to achieve the same effects. This demonstrates comprehension of the concept.
Summary of why other choices are incorrect:
A: Incorrect. Alcohol tolerance does not produce physical changes when alcohol is not ingested.
B: Incorrect. Alcohol tolerance does not affect the response to opiates.
D: Incorrect. Alcohol tolerance is not a medical emergency and is not solely a result of withdrawal.
Question 4 of 5
A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Anorexia nervosa is often associated with amenorrhea, distorted body image, excessive activity, and bradycardia due to malnutrition.
Question 5 of 5
A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
Correct Answer: A
Rationale: The correct answer is A: Decrease anxiety. In the context of OCD, constant repetitive cleaning is a common compulsive behavior aimed at reducing anxiety related to obsessive thoughts. Cleaning provides a sense of control and temporary relief from anxiety.
Choice B is incorrect because cleaning is not typically aimed at preventing aggression or impulsivity.
Choice C is incorrect as cleaning behavior in OCD is not intended to manipulate others.
Choice D is incorrect because the primary goal of cleaning in OCD is not to decrease interaction time but rather to alleviate anxiety.