ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a client experiencing chronic stress. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperglycemia. Chronic stress can lead to the release of stress hormones like cortisol and adrenaline, which can increase blood sugar levels. This occurs due to the body's fight-or-flight response to stress. Hypotension (
A) is unlikely as stress typically leads to increased blood pressure. Increased energy (
B) is less likely as chronic stress can lead to fatigue and exhaustion. Increased cognitive awareness (
C) is not a common finding in chronic stress, as it can impair cognitive function. Hyperglycemia (
D) is the most likely finding due to the physiological response to stress.
Question 2 of 5
Which intervention should a nurse prioritize when caring for a client with alcohol use disorder?
Correct Answer: B
Rationale: The correct answer is B: Providing adequate hydration and rest. This intervention is crucial because individuals with alcohol use disorder often experience dehydration and fatigue due to excessive alcohol consumption. Hydration helps to flush out toxins and restore electrolyte balance, while rest supports physical and mental recovery. Helping the client identify positive personality traits (
A) may be beneficial in building self-esteem but is not as urgent as addressing physical needs. Confronting denial and defense mechanisms (
C) may lead to resistance and hinder the therapeutic relationship. Educating the client about alcohol misuse (
D) is important but should be done after addressing immediate physical needs.
Question 3 of 5
How should a nurse address compulsive behaviors in a newly admitted client with OCD?
Correct Answer: D
Rationale:
Correct
Answer: D. Set strict limits on behaviors
Rationale:
1. Setting strict limits helps establish boundaries and structure for the client.
2. It assists in reducing compulsive behaviors by providing clear guidelines.
3. It promotes a sense of control and safety for the client.
4. Allows for gradual exposure and response prevention therapy.
Summary:
A: Isolating the client can exacerbate feelings of loneliness and increase anxiety.
B: Confrontation may trigger defensiveness and hinder therapeutic rapport.
C: While group activities can be beneficial, they may not directly address the compulsive behaviors.
E: Allowing additional time for rituals reinforces maladaptive behaviors.
Question 4 of 5
Which action is most therapeutic for a client with panic-level anxiety?
Correct Answer: B
Rationale: The correct answer is B: Remain with the client. This is the most therapeutic action because it provides immediate reassurance and support to the client, helping to reduce feelings of isolation and fear during a panic attack. By staying with the client, you can offer comfort and help them feel safe and supported.
Choice A is incorrect as suggesting the client rest in bed may not address their immediate needs during a panic attack.
Choice C, medicating the client with a sedative, may provide short-term relief but does not address the underlying causes of the anxiety.
Choice D, having the client join a therapy group, is not suitable during a panic attack as the client needs immediate support and intervention.
Question 5 of 5
A client awaiting surgery expresses fear of having cancer. Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings and shows empathy. By saying, "I hear that you are concerned about this," the nurse validates the client's emotions and creates a supportive environment.
Choice A is incorrect as it may come off as dismissive.
Choice B is inappropriate as it invalidates the client's fear.
Choice C passes the responsibility back to the client's provider instead of addressing the immediate concern.