ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, “I don't know why my wife left me.” The client receives a diagnosis of anxiety. The nurse realizes the client’s findings support which level of anxiety?
Correct Answer: D
Rationale: The correct answer is D: Panic. The client's symptoms of chest pain, headache, shortness of breath, and emotional distress over his wife leaving him indicate severe anxiety leading to panic. Panic level of anxiety is characterized by overwhelming fear and physical symptoms, which can mimic serious medical conditions. The client's inability to cope and focus on his wife leaving him despite physical symptoms supports the panic level of anxiety.
Choice A (Mild) is incorrect because the client's symptoms are more severe.
Choice B (Moderate) is incorrect as the symptoms are more intense than what would be expected in moderate anxiety.
Choice C (Severe) is incorrect because the client's symptoms and emotional distress are beyond what is typically seen in severe anxiety, aligning more with panic level symptoms.
Question 2 of 5
A nurse is caring for a client who is hospitalized and says to the nurse, "My partner called and told me my boss hired someone to take my place." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Acknowledging the client’s emotions promotes therapeutic communication.
Question 3 of 5
A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Protecting the client from injury. This is the highest priority because ensuring the client's physical safety is essential during a crisis intervention for acute anxiety. If the client is at risk of harming themselves or others, immediate action must be taken to prevent any harm. Options B, C, and D are important aspects of care but ensuring physical safety takes precedence in this situation. Determining the cause of anxiety, ensuring the client feels safe, and identifying coping skills are important but can be addressed once the immediate risk of harm is addressed.
Question 4 of 5
A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?
Correct Answer: D
Rationale: Secondary intervention involves direct care during a suicide crisis, such as life-saving measures.
Question 5 of 5
A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Viral infection. Chronic stress weakens the immune system, making the body more susceptible to infections like viruses. Stress hormones suppress immune responses, increasing the risk of infections. Hypotension (
A) is more likely in acute stress, not chronic stress. Increased energy (
C) is not typically associated with chronic stress, as it often leads to fatigue. Increased cognitive awareness (
D) is not a common finding with chronic stress, as it can impair cognitive function.