ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 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:
Correct Answer: D - Reports a lack of sleep
Rationale:
1. Lack of sleep is a hallmark symptom of acute mania in bipolar disorder.
2. During acute mania, individuals often experience reduced need for sleep or insomnia.
3. This symptom can lead to increased energy levels, impulsivity, and agitation.
4. The nurse should prioritize addressing the client's sleep disturbance to prevent exacerbation of manic symptoms.
Other
Choices:
A: Writing a detailed daily activity schedule is not necessarily indicative of acute mania. It could be a coping mechanism or part of a structured routine.
B: Refusing to engage in conversation may suggest social withdrawal, but it is not specific to acute mania.
C: Isolating oneself from others can be a sign of depression or anxiety, but it does not directly indicate acute mania.
Question 2 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct instructions are B, C, and E. Installing sensor devices on outside doors helps prevent wandering. Positioning the mattress on the floor reduces fall risk. Putting locks at the top of doors prevents the client from wandering. Placing the client in a reclining chair does not address the wandering issue. Encouraging physical activity prior to bedtime may increase agitation and worsen wandering.
Question 3 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:
Correct Answer: D - Reports a lack of sleep
Rationale:
1. Lack of sleep is a hallmark symptom of acute mania in bipolar disorder.
2. During acute mania, individuals often experience reduced need for sleep or insomnia.
3. This symptom can lead to increased energy levels, impulsivity, and agitation.
4. The nurse should prioritize addressing the client's sleep disturbance to prevent exacerbation of manic symptoms.
Other
Choices:
A: Writing a detailed daily activity schedule is not necessarily indicative of acute mania. It could be a coping mechanism or part of a structured routine.
B: Refusing to engage in conversation may suggest social withdrawal, but it is not specific to acute mania.
C: Isolating oneself from others can be a sign of depression or anxiety, but it does not directly indicate acute mania.
Question 4 of 5
A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
Correct Answer: B
Rationale: The correct answer is B: The client remains in control of their actions. This indicates that the client is no longer a danger to themselves or others and can be safely removed from restraints. Apologizing (
A) does not necessarily indicate safety. Asking to be released (
C) may not reflect improved behavior. Signing a contract (
D) does not ensure current safety.
Question 5 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: The correct answer is D because reporting a lack of sleep is a classic symptom of acute mania in bipolar disorder. During manic episodes, individuals often experience decreased need for sleep or even insomnia. This can lead to heightened energy levels, racing thoughts, and increased impulsivity. Writing a detailed daily activity schedule (
A) may suggest organization rather than mania. Refusing to engage in conversation (
B) and isolating self from others (
C) are more indicative of depression or social withdrawal, which are not specific to acute mania.