ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don't know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I'm hearing that you are concerned that it might turn out that you have cancer." This answer demonstrates active listening, empathy, and acknowledgment of the client's feelings without dismissing or invalidating them. By paraphrasing the client's concerns, the nurse shows understanding and provides an opportunity for the client to express their fears further.
Choice A is incorrect because it challenges the client's perception rather than validating their feelings.
Choice B is dismissive and does not address the client's emotional needs.
Choice C shifts the responsibility to the provider and misses the opportunity for the nurse to offer support.
In summary, choice D is the most appropriate response as it acknowledges the client's emotions, fosters open communication, and demonstrates empathy, which are essential in providing holistic care.
Question 2 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 3 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 4 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Lithium is excreted by the kidneys, and dehydration from excessive sweating during running can lead to decreased kidney function.
2. Running 4 miles outdoors every afternoon increases the risk of dehydration, which can decrease lithium clearance and increase its concentration in the blood.
3. Higher lithium levels due to dehydration can lead to lithium toxicity, causing symptoms such as nausea, vomiting, diarrhea, tremors, confusion, and potentially life-threatening complications.
Summary:
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Choice B (drinking 2 liters of liquids daily) is actually beneficial as adequate hydration is essential for kidney function and lithium excretion.
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Choice C (eating 2-3 grams of sodium-containing foods daily) is not directly related to lithium toxicity.
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Choice D (eating foods high in tyramine) is unrelated to lithium toxicity and is more relevant in the context of MAOIs.
- The correct answer is A, as excessive sweating during running can lead to dehydration, impairing
Question 5 of 5
A nurse is assessing a parent who lost a 12-year-old child in a car crash 2 years ago. Which of the following findings indicates the client is exhibiting manifestations of prolonged grieving?
Correct Answer: A
Rationale: In prolonged grief, individuals may struggle to move forward and avoid changing their environment.