ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse in the ER is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: C
Rationale: The correct answer is C: Assess client's nutritional status. The first priority should be to assess the client's nutritional status to determine the underlying cause of the weight loss and distorted body image. This assessment will help identify any possible eating disorders or medical conditions contributing to the weight loss. Planning a therapeutic diet (
A) may be necessary, but it is secondary to understanding the root cause. Providing a structured environment (
B) may be helpful, but it does not address the immediate concern of nutritional status. Requesting a mental health consult (
D) may be necessary in the future, but assessing the nutritional status is crucial before addressing mental health issues.
Question 2 of 5
A nurse in the ER is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: The correct answer is A: Request a mental health consult. This is the first priority because the client's belief of being fat despite significant weight loss is indicative of a possible body image disturbance or eating disorder. Mental health consult is crucial to address underlying psychological issues. Assessing nutritional status (
C) and planning a therapeutic diet (
D) are important but addressing the client's distorted body image takes precedence. Providing a structured environment (
B) may help but doesn't address the root cause. Other choices are not relevant to the immediate psychological needs of the client.
Question 3 of 5
A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. The nurse recognizes that which of the following findings indicates the client is at risk for suicide?
Correct Answer: C
Rationale: The correct answer is C. Increased impulsive behaviors are a red flag for suicide risk in bipolar disorder due to the potential for reckless actions. Impulsivity can lead to self-harm or suicide attempts.
Choice A is incorrect as wanting to be with family is a protective factor.
Choice B indicates social engagement, which can be positive.
Choice D does not directly relate to suicide risk.
Question 4 of 5
A nurse is caring for a client who requires crisis intervention for acute anxiety. Which of the following nursing actions is the highest priority?
Correct Answer: B
Rationale: The highest priority in crisis intervention for acute anxiety is protecting the client from injury to himself. This is crucial as the client may be at risk of harming themselves during a crisis. Safety is the top priority to prevent any harm or adverse outcomes. Identifying coping skills, determining the cause of anxiety, and ensuring the client feels safe are important actions but ensuring immediate safety takes precedence.
Question 5 of 5
A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following is an appropriate statement by the nurse?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the parents' feelings of guilt and opens the door for discussion. By actively listening and engaging in a dialogue about the source of their guilt, the nurse can help the parents process their emotions and provide support.
Choice A may come off as dismissive, as it does not address the parents' emotions.
Choice C is judgmental and does not show empathy.
Choice D, while offering reassurance, does not address the root of the parents' guilt. It is essential for the nurse to validate the parents' feelings and explore them further to provide effective support.