ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?
Correct Answer: B
Rationale: A private room close to the nursing station is ideal for a client in the manic phase of bipolar disorder. The nurse can monitor the client's behavior more closely while providing a quiet private space to prevent overstimulation from other clients. Other options risk overstimulation unnecessary seclusion or inadequate monitoring.
Question 2 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: A
Rationale: The client's physical symptoms (chest pain headache shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety which is marked by intense physical and emotional distress. Moderate mild and severe anxiety do not present with such intense physical symptoms.
Question 3 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: D
Rationale: Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care. Isolation strict limits or confrontation can increase anxiety and worsen compulsive behaviors.
Question 4 of 5
A client who has bipolar disorder approaches the nurse and reveals fresh,self-inflicted,superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The first action is to inspect the cuts for any debris to ensure proper wound care. Cleaning the wounds and assessing their severity is necessary to prevent infection. Documentation tetanus administration and behavioral plans are important but secondary to immediate wound care.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client is doing calisthenics in the client dining room during lunchtime instead of eating. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Offering the client a milkshake while directing them to a different activity provides a way to meet the client's nutritional needs and addresses their manic energy by giving them a focus other than exercise. This approach maintains structure without creating confrontation.