ATI RN
ATI RN Mental Health Asn 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: D
Rationale: Physical injuries should be assessed first to ensure appropriate medical treatment.
Question 2 of 5
A nurse is assessing a client experiencing chronic stress. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperglycemia. Chronic stress triggers the release of cortisol and adrenaline, leading to increased blood sugar levels. This physiological response can result in hyperglycemia. A: Hypotension is unlikely as stress often causes increased blood pressure. B: Increased energy may occur initially due to the body's fight-or-flight response but chronic stress typically leads to fatigue. C: Increased cognitive awareness is less likely as chronic stress can impair cognitive function. Summary: A is incorrect because hypotension is not a typical finding in chronic stress. B is incorrect as chronic stress usually leads to fatigue, not increased energy. C is incorrect as chronic stress can impair cognitive function, rather than enhance it.
Question 3 of 5
A nurse is caring for a client who is terminally ill and exhibiting signs of impending death. The client's medical record states that the client is a practicing Roman Catholic. Which of the following nursing actions is appropriate?
Correct Answer: A
Rationale: The correct answer is A: Offer to make arrangements for the Sacrament of the Sick. This is appropriate because the client is a practicing Roman Catholic, and the Sacrament of the Sick is a significant sacrament in the Catholic faith for those who are seriously ill or dying. Providing the opportunity for the client to receive this sacrament aligns with their religious beliefs and can offer comfort and spiritual support during this challenging time.
Choices B, C, and D are incorrect. B may not align with the client's wishes or beliefs, as staying with the body after death is not a universal practice in Roman Catholicism. C assumes that a specific religious ritual must be performed, which may not be the case for all Roman Catholics. D is not relevant to the client's spiritual or emotional needs and does not respect their autonomy or dignity.
Question 4 of 5
A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings, expresses care, and shows concern, which can help the client feel supported and understood. Option A deflects the client's feelings by focusing on the family. Option B may come off as confrontational. Option C is open-ended and may not provide immediate support. Options E, F, G are not provided in the question.
Question 5 of 5
A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client experiencing?
Correct Answer: A
Rationale: The correct answer is A: Situational crisis. In this scenario, the sudden death of the client's wife is an external event disrupting his ability to cope with work and family responsibilities. Situational crises are caused by unexpected events and can overwhelm an individual's coping mechanisms. Maturational crises (choice
B) occur as a result of normal life transitions. Adventitious crises (choice
C) involve natural disasters or traumatic events. Developmental crises (choice
D) are related to specific stages of life. The client's crisis does not align with choices E, F, or G.
Therefore, the client is experiencing a situational crisis due to the sudden loss of his wife.