ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how alcohol use affects the client's psychosocial behaviors?
Correct Answer: A
Rationale:
Rationale: Asking how alcohol use affects work performance helps assess psychosocial impact by identifying functional impairment related to alcohol. This question can reveal issues with productivity, relationships, and financial stability. Other options focus on treatment history, age of onset, and mental health, which are important but not directly related to current psychosocial impact.
Question 2 of 5
A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors?
Correct Answer: C
Rationale: OCD rituals are performed to reduce anxiety, even if they are illogical or excessive.
Question 3 of 5
A nurse is caring for a 48-year-old client who is grieving following the death of her husband seven months ago. The client reports that she has lost 30 lb and is having difficulty sleeping. Which of the following factors indicate the client is experiencing maladaptive grieving?
Correct Answer: C
Rationale: The correct answer is C: The client has lost 30 lb. This indicates maladaptive grieving as significant weight loss is a common physical manifestation of unresolved grief. The weight loss could be due to lack of appetite or neglecting self-care, both of which are concerning signs. Losing a large amount of weight within a short period can negatively impact the client's health and well-being.
Choices A, B, and D are not directly related to maladaptive grieving. Age (
A) and the time since the husband's death (
B) are not indicative of maladaptive grieving, as everyone grieves differently and at their own pace. Difficulty sleeping (
D) is a common symptom of grief but may not necessarily indicate maladaptive grieving on its own.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client direct questions about the hallucination. This approach helps the nurse understand the client's experience without dismissing or reinforcing the hallucination. It also promotes therapeutic communication and builds trust.
Choice A would not be appropriate as it validates the hallucination.
Choice B could escalate the situation and increase distress.
Choice D may cause the client to become defensive or feel invalidated. Asking direct questions (
Choice
C) allows the nurse to gather information to provide appropriate care and support.
Question 5 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: D
Rationale: The correct answer is D: Panic. The client's symptoms of chest pain, headache, shortness of breath, and emotional distress over his wife leaving him indicate severe anxiety leading to panic. Panic level of anxiety is characterized by overwhelming fear and physical symptoms, which can mimic serious medical conditions. The client's inability to cope and focus on his wife leaving him despite physical symptoms supports the panic level of anxiety.
Choice A (Mild) is incorrect because the client's symptoms are more severe.
Choice B (Moderate) is incorrect as the symptoms are more intense than what would be expected in moderate anxiety.
Choice C (Severe) is incorrect because the client's symptoms and emotional distress are beyond what is typically seen in severe anxiety, aligning more with panic level symptoms.