ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is admitting a client who reports feeling depressed, sad, moody, and overly anxious. Which of the following is the nurse’s assessment priority?
Correct Answer: C
Rationale: The correct assessment priority in this scenario is suicide risk (
C). This is because the client's reported symptoms of feeling depressed, sad, moody, and overly anxious indicate a potential risk of self-harm or suicide. Assessing for suicide risk is crucial to ensure the client's safety and well-being. Coping abilities (
A) and support systems (
B) are important factors to consider but assessing suicide risk takes precedence in this situation. Psychiatric history (
D) may provide valuable information but is not as urgent as assessing for immediate safety concerns.
Question 2 of 5
A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?
Correct Answer: D
Rationale: The correct answer is D: Chronic illness. Chronic illness can contribute to the development of depression due to the physical and emotional toll it takes on individuals. The stress, pain, and limitations associated with chronic conditions can lead to feelings of hopelessness and helplessness, which are common symptoms of depression. Additionally, managing a chronic illness may require significant lifestyle adjustments and can impact one's quality of life.
A: Being married is not a risk factor for depression, as having a supportive partner can actually be a protective factor.
B: Pregnancy can lead to mood changes, but it is not a direct risk factor for depression.
C: Male gender is a risk factor for certain mental health conditions, but depression is more prevalent in females.
Overall, chronic illness is the most directly linked risk factor for depression among the options provided.
Question 3 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 4 of 5
A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Redirecting the client to their correct room is the least restrictive intervention while ensuring safety.
Question 5 of 5
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Ask him to describe what he is feeling. This response allows the nurse to assess the client's specific concerns and fears regarding the surgery, which can help tailor the support and interventions provided. By encouraging the client to express his emotions, the nurse can establish rapport, build trust, and provide individualized care. Options B, C, and D do not address the client's emotional state directly and may not effectively address his anxiety. Reading material or walking may not alleviate his anxiety, and referring to the pastoral care team may not address his immediate concerns. Overall, option A promotes effective communication and understanding of the client's emotional needs.