ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Cocaine is a stimulant that increases heart rate and blood pressure. This is due to its effects on the sympathetic nervous system, leading to vasoconstriction and increased cardiac output. Hypothermia (
A) is not expected as cocaine use typically raises body temperature. Lethargy (
B) is unlikely as cocaine is a stimulant that causes increased alertness and energy. Bradycardia (
C) is not a common manifestation of cocaine use since it usually results in tachycardia.
Question 2 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: The client states that he is unable to eat more than once a day. This is the priority finding because it indicates potential malnutrition, which can have serious health consequences. The nurse should address this issue first to ensure the client's physical well-being.
Choice A focuses on anger, which is important but not as urgent as addressing nutritional concerns.
Choice B relates to negative memories, which may require emotional support but is not immediate.
Choice C involves feelings of guilt, which can be addressed once the client's physical needs are met. By prioritizing the client's inability to eat, the nurse ensures a holistic approach to care.
Question 3 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: B
Rationale: The correct answer is B because informing the social worker that the client will be unable to return home after discharge is crucial for coordinating appropriate post-discharge care and support services. The social worker can help assess the client's living situation, connect them with community resources, and facilitate a safe and suitable discharge plan. This information is pertinent for the social worker to address the client's social needs.
Choices A, C, and D are incorrect because while they are important aspects of the client's care, they are more relevant to the nurse's role in addressing the client's immediate physical and emotional needs rather than the social worker's role in coordinating post-discharge care and support services.
Question 4 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: A
Rationale: The correct answer is A. Assigning the same staff members daily can help establish a consistent and stable relationship, which is crucial for clients with borderline personality disorder who struggle with interpersonal relationships. This consistency can provide a sense of security and trust for the client.
Choice B is incorrect because exploring feelings of abandonment may trigger distress and exacerbate the client's symptoms.
Choice C is incorrect because discussing maladaptive behaviors is essential for therapy and growth.
Choice D is incorrect as encouraging dependent behaviors can perpetuate unhealthy patterns.
Question 5 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Initiates social interactions with caregivers. Adolescents with autism spectrum disorder often struggle with social interactions. By including the outcome of initiating social interactions with caregivers in the plan of care, the nurse aims to promote social skills development and improve the adolescent's ability to engage with others. This outcome focuses on fostering positive relationships and enhancing communication skills, which are crucial for the adolescent's overall well-being and quality of life.
A: Meeting own needs without manipulating others may not directly address the social challenges faced by individuals with autism spectrum disorder.
B: Acknowledging delusions is more related to psychotic disorders rather than autism spectrum disorder.
D: Changing behavior due to peer pressure may not necessarily promote genuine social interactions and may lead to negative outcomes.