ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is caring for a client diagnosed with depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed, and there are no longer signs of a depressive state. Which of the following is an appropriate action by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Monitor the client's whereabouts at all times.
Rationale:
1. Sudden change in mood from depression to cheerfulness can indicate a potential shift towards suicidal ideation.
2. Monitoring the client's whereabouts ensures safety and prevents self-harm.
3. It is crucial to maintain close observation during such transitions to provide appropriate care.
Incorrect
Choices:
A: Encouraging family outings may pose a risk if the client is not stable.
B: Rewarding behavior without understanding the underlying cause can be counterproductive.
C: Asking why the behavior changed may not provide immediate insight into the client's safety.
Question 2 of 5
A nurse in the ER is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: C
Rationale: The correct answer is C: Assess client's nutritional status. The first priority for the client should be to assess her nutritional status because the significant weight loss may indicate malnutrition or an underlying health issue. By assessing the client's nutritional status, the nurse can determine the client's current dietary intake, any possible deficiencies, and overall nutritional health. This information will guide the development of a personalized care plan and interventions to address the client's weight loss and distorted body image.
Choice A (Plan a therapeutic diet for the client) is incorrect because before planning a therapeutic diet, it is essential to first assess the client's nutritional status to understand her specific needs.
Choice B (Provide a structured environment for the client) is incorrect as it may not directly address the underlying cause of the weight loss and body image issues.
Choice D (Request a mental health consult) is also incorrect as assessing the client's nutritional status should come first to identify any physical factors contributing to her symptoms before addressing potential mental health concerns.
Question 3 of 5
A nurse in the ER is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: C
Rationale: The correct answer is C: Assess client's nutritional status. The first priority should be to assess the client's nutritional status to determine the underlying cause of the weight loss and distorted body image. This assessment will help identify any possible eating disorders or medical conditions contributing to the weight loss. Planning a therapeutic diet (
A) may be necessary, but it is secondary to understanding the root cause. Providing a structured environment (
B) may be helpful, but it does not address the immediate concern of nutritional status. Requesting a mental health consult (
D) may be necessary in the future, but assessing the nutritional status is crucial before addressing mental health issues.
Question 4 of 5
A nurse in the ER is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: The correct answer is A: Request a mental health consult. This is the first priority because the client's belief of being fat despite significant weight loss is indicative of a possible body image disturbance or eating disorder. Mental health consult is crucial to address underlying psychological issues. Assessing nutritional status (
C) and planning a therapeutic diet (
D) are important but addressing the client's distorted body image takes precedence. Providing a structured environment (
B) may help but doesn't address the root cause. Other choices are not relevant to the immediate psychological needs of the client.
Question 5 of 5
A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. The nurse recognizes that which of the following findings indicates the client is at risk for suicide?
Correct Answer: C
Rationale: The correct answer is C. Increased impulsive behaviors are a red flag for suicide risk in bipolar disorder due to the potential for reckless actions. Impulsivity can lead to self-harm or suicide attempts.
Choice A is incorrect as wanting to be with family is a protective factor.
Choice B indicates social engagement, which can be positive.
Choice D does not directly relate to suicide risk.