ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client with anxiety. Which symptom should the nurse expect? (Hypothetical)
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Anxiety often manifests as restlessness due to increased arousal and nervousness. This can result in fidgeting, pacing, or inability to sit still. Improved concentration (
B) is unlikely as anxiety can impair focus. Increased appetite (
C) is not a common symptom of anxiety, as it can lead to loss of appetite. Lethargy (
D) is more characteristic of depression than anxiety.
Question 2 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:
Correct Answer: A
Rationale: The nurse should inform the client that they have the legal right to refuse treatment at any time. This respects the client's autonomy and right to make decisions about their own healthcare. Encouraging the client to have the procedure (
B) goes against their wishes. Obtaining consent from the client's family member (
C) is not appropriate as the decision lies with the client. Requesting another nurse to review the procedure with the client (
D) may not address the client's concerns about not wanting the procedure.
Question 3 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 4 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 5 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: The correct answer is A: Suppression. Suppression involves consciously choosing to postpone dealing with thoughts, feelings, or impulses. In this scenario, the client is avoiding thoughts of their diagnosis by focusing on a future event. Compensation involves overemphasizing a trait to offset a perceived weakness. Regression involves reverting to an earlier stage of development. Sublimation involves channeling unacceptable impulses into constructive activities. In this case, the client's behavior aligns most closely with suppression, as they are consciously delaying thoughts about their diagnosis.