ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: ECT is primarily used for severe depression, and improvement in depressive symptoms (e.g., mood, energy) is the key effectiveness indicator. Seizure frequency isn’t reduced (ECT induces them), panic attacks and phobias aren’t primary targets.
Question 2 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: D
Rationale: A lack of sleep is a hallmark of acute mania, reflecting reduced sleep need and high energy. Scheduling, refusal to talk, and isolation suggest depression, not mania.
Question 3 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: D
Rationale: How has this impacted your life?' is open-ended, allowing the client to express feelings and coping strategies, providing insight into their emotional adaptation. 'Why' may induce guilt, 'Are you okay' is insensitive, and hygiene support assesses practical needs, not coping.
Question 4 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: A
Rationale: This statement indicates spiritual distress because it reflects a disruption in the client’s spiritual practice due to therapy scheduling. Meditation, a key spiritual routine, being interrupted can lead to disconnection and distress. Increased advisor visits, comfort from meditation, and faith giving hope suggest spiritual strength, not distress.
Question 5 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Informing the client of their right to refuse respects autonomy and addresses anxiety by empowering choice. Encouragement may coerce, family consent is inappropriate unless incompetent, and another nurse’s review doesn’t override refusal.