ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse in an emergency department is performing an assessment on a client who reports being sexually assaulted. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct first action for the nurse is to document the client's verbatim statements. This is crucial for legal and forensic purposes, ensuring accurate and timely documentation of the client's account of the assault. It helps preserve evidence, maintain confidentiality, and guide further assessment and care. Asking for permission to take photographs, providing support contacts, and determining physical signs of injury are important but should come after documenting the client's statements. These actions may be secondary to establishing a detailed and accurate record of the client's initial report.
Question 2 of 5
A nurse is taking care of a client who is cognitively impaired. The nurse recognizes that which of the following rooms will provide a therapeutic environment for this client?
Correct Answer: B
Rationale: The correct answer is B: A room containing personal belongings. Personal belongings can provide a sense of familiarity and comfort for a cognitively impaired client, helping to reduce anxiety and confusion. The client may find reassurance and a connection to their identity through these items.
A: A room without a window may feel isolating and restrict natural light, which can affect the client's mood and circadian rhythm negatively.
C: A room adjacent to the nursing station may result in increased noise and activity, potentially causing agitation and stress for the client.
D: A room with dim lighting may lead to disorientation and difficulty navigating the environment for a cognitively impaired client.
Question 3 of 5
A nurse is taking care of a client who is cognitively impaired. The nurse recognizes that which of the following rooms will provide a therapeutic environment for this client?
Correct Answer: B
Rationale: The correct answer is B because a room containing personal belongings can provide familiarity and comfort for a cognitively impaired client, helping to reduce anxiety and confusion. Personal belongings can serve as memory cues and promote a sense of identity and security.
A: A room without a window may lead to a lack of natural light and connection to the outside world, which can negatively impact the client's mood and circadian rhythm.
C: A room adjacent to the nursing station may increase noise levels and disrupt the client's sense of privacy and autonomy.
D: A room with dim lighting may further impair the client's ability to navigate and interact with the environment, potentially increasing the risk of falls and accidents.
Question 4 of 5
A nurse in the acute mental health unit is admitting a new client with an eating disorder. The nurse is aware that which of the following are considered comorbidities of eating disorders? (Select all that apply.)
Correct Answer: A,B,E
Rationale: The correct answer includes depression, obsessive-compulsive disorder (OC
D), and anxiety as comorbidities of eating disorders. Depression is often associated with eating disorders due to feelings of hopelessness and sadness. OCD can manifest as obsessive thoughts about food and compulsive behaviors related to eating. Anxiety can exacerbate disordered eating patterns. Schizophrenia and breathing-related sleep disorder are not typically considered comorbidities of eating disorders. In summary, the correct answer is based on the common psychological conditions that often co-occur with eating disorders, while the incorrect choices do not have strong associations with eating disorders.
Question 5 of 5
A nurse notices that a client who has moderate anxiety is pacing the corridor and rambling. As the nurse approaches, the client states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Come with me to an area where we can talk without interruption." This response demonstrates active listening, empathy, and a willingness to provide support. By offering a private space for the client to express their feelings, the nurse can establish trust and create a therapeutic environment for effective communication and problem-solving. This approach allows the nurse to assess the client's needs, provide emotional support, and potentially de-escalate the situation.
Incorrect responses:
B: Providers usually recommend relaxation exercises for clients who are as upset as you are.
- This response may come across as dismissive and not address the client's immediate concerns.
C: An antianxiety pill works best for situations like this.
- Jumping to medication without proper assessment and exploration of coping strategies may not be appropriate.
D: Most clients with anxiety issues benefit from lying down.
- This response is generalized and does not consider the individual client's preferences or needs.