ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has multiple injuries following a motor vehicle crash. Shortly after admission, the client's partner arrives. He is distraught and blames himself for the accident. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging the partner to express emotions helps with emotional processing and coping.
Question 2 of 5
A nurse observes a client sitting alone in her room crying. As the nurse approaches her, the client states, "I'm feeling sad. I don't want to talk now." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Staying with the client provides support without pressuring them to talk.
Question 3 of 5
A nurse in a long-term care facility is caring for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Provide a consistent daily routine. For clients with Alzheimer's disease, routines provide structure and familiarity, reducing confusion and anxiety. Consistency helps maintain a sense of security and can improve behavior. Posting a written schedule (choice
A) can be overwhelming and confusing. Using an overhead loudspeaker (choice
B) can be disorienting and increase agitation. Allowing the client to choose free-time activities (choice
D) may lead to indecision and frustration.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Psychomotor agitation. In major depressive disorder, psychomotor agitation is a common symptom characterized by restlessness, pacing, handwringing, or tapping. This is due to internal feelings of distress and anxiety. Dismissal of past failures (
A) is not a typical finding, as individuals with major depressive disorder often ruminate on past failures. An increase in energy (
C) is unlikely, as fatigue and low energy levels are common in depression.
Choices D, E, F, and G are not applicable.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator.” Which of the following findings is this client exhibiting?
Correct Answer: B
Rationale: The correct answer is B: Grandiosity. The client's belief that they possess extraordinary abilities and can achieve unrealistic feats, such as flying home and becoming a U.S. Senator, reflects grandiosity, a common symptom of bipolar disorder's manic phase. This symptom is characterized by an inflated sense of self-importance and unrealistic beliefs about one's abilities. Flight of ideas (choice
A) refers to rapid, disorganized thinking, not necessarily related to grandiosity. Impaired reality testing (choice
C) involves difficulty distinguishing between what is real and what is not, which is not the primary feature exhibited by the client in the scenario. Depersonalization (choice
D) involves feeling detached from oneself, which is not evident in the client's statement.