ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has depression. Which of the following findings are risk factors of depression? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: A: Low self-esteem is a risk factor for depression because negative self-perception and feelings of worthlessness can contribute to the development of depressive symptoms. B: Irritability is associated with depression, especially in adolescents. It can manifest as a mood symptom and is often seen alongside other depressive features. C: Chronic pain can be both a symptom and a risk factor for depression. Persistent pain can lead to changes in mood, behavior, and physical function, contributing to the development of depressive symptoms. D: Insomnia, or difficulty sleeping, is a common symptom of depression and can also be a risk factor. Sleep disturbances are often seen in individuals with depression, and they can contribute to the severity of the condition.
Question 2 of 5
A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing interventions should the nurse take?
Correct Answer: A
Rationale: Monitoring the client's weight on a regular schedule is important in managing anorexia nervosa. It helps track progress and any potential complications related to weight loss.
Question 3 of 5
A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: B
Rationale: Individuals with obsessive-compulsive disorder (OC
D) often engage in compulsive behaviors, such as cleaning, organizing, or checking, as a way to reduce the anxiety caused by their obsessive thoughts. In this scenario, the client's constant picking up after others is likely a compulsive behavior that serves the purpose of decreasing their anxiety to a tolerable level.
Question 4 of 5
A nurse caring for a client who has a deep vein thrombosis and is prescribed heparin by continuous infusion at 1,200 U/hr. Available is heparin 25,000 units in 500 mL DSW. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 24
Rationale:
To calculate mL/hr: mL/hr = (
Total units required per hour) / (Units/mL in the solution).
Total units required = 1,200 U/hr. Units/mL = 25,000 U / 500 mL = 50 U/mL. mL/hr = 1,200 U/hr / 50 U/mL = 24 mL/hr.
Question 5 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: C
Rationale: Talk to the client and identify the specific limits that are required of the client's behavior. This is the correct option. Talking to the client directly allows the nurse to address the behavior, express expectations, and set clear boundaries. This approach promotes open communication and gives the client a chance to understand how their actions are affecting others.