ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Viral infection. Chronic stress weakens the immune system, making the body more susceptible to infections like viruses. Stress hormones suppress immune responses, increasing the risk of infections. Hypotension (
A) is more likely in acute stress, not chronic stress. Increased energy (
C) is not typically associated with chronic stress, as it often leads to fatigue. Increased cognitive awareness (
D) is not a common finding with chronic stress, as it can impair cognitive function.
Question 2 of 5
A nurse in a mental health facility is preparing to interview a client who has schizophrenia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Start the interview with a question the client can answer with “yes” or "no." This approach is appropriate for clients with schizophrenia as it allows for easier engagement and communication. By starting with closed-ended questions, the nurse can establish rapport, build trust, and help the client feel comfortable. Options A and D may be too intimidating or intrusive for a client with schizophrenia. Option B, placing the client in a higher chair, may create a power dynamic that could be perceived negatively. Options E, F, and G are not provided, but based on the context, they would likely not be appropriate for engaging with a client with schizophrenia.
Question 3 of 5
A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Speak to the client calmly, giving simple directions. This is the first action the nurse should take to de-escalate the situation. By speaking calmly and providing simple directions, the nurse can help the client regain control and potentially prevent further escalation of aggression. Calling for assistance to place the client in restraints (
A) should only be considered as a last resort to ensure safety. Escorting the client to an unlocked seclusion room (
B) may escalate the situation and should not be the first action. Offering the client a PRN antianxiety medication (
C) should come after attempting verbal de-escalation.
Question 4 of 5
A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A, B, D, E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Providing small meals frequently helps prevent overwhelming the client and supports gradual weight gain.
B: Daily weight monitoring is essential to track the client's progress and assess the effectiveness of the treatment plan.
D: Staying with the client during and after meals helps ensure compliance with the meal plan and prevents purging behaviors.
E: Offering specific privileges for sustained weight gain can serve as positive reinforcement and motivation for the client.
Summary:
C: Allowing the client to choose meals may not always be appropriate as it can lead to food restriction and reinforce maladaptive behaviors.
F, G: Other options not provided in the answer key are not directly related to the management of anorexia nervosa in this context.
Question 5 of 5
A nurse is caring for a client who is receiving treatment for alcohol withdrawal. Which of the following findings is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: Visual hallucinations. Visual hallucinations in a client undergoing alcohol withdrawal indicate severe withdrawal symptoms and pose a risk for harm to self or others. Addressing visual hallucinations promptly is crucial to prevent potential injuries or dangerous behaviors. Vitamin deficiency (
A), diaphoresis (
B), and tremors (
C) are common manifestations of alcohol withdrawal but do not pose an immediate threat compared to visual hallucinations.
Therefore, visual hallucinations take precedence in prioritizing care for this client.