ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale:
Correct Answer: B - Constipation
Rationale:
1. Anorexia nervosa often leads to reduced food intake and inadequate nutrition, causing decreased bowel movements and constipation.
2. Constipation is a common gastrointestinal symptom in individuals with anorexia nervosa due to low fiber intake and dehydration.
3. Tachycardia (
A) is more commonly associated with starvation and electrolyte imbalances in anorexia nervosa.
4. Menorrhagia (
C) refers to heavy menstrual bleeding and is not a typical finding in anorexia nervosa.
5. Hyperkalemia (
D) is unlikely in anorexia nervosa as it is more commonly associated with kidney disease or excessive potassium intake.
Question 2 of 5
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Ask him to describe what he is feeling. This response allows the nurse to assess the client's specific concerns and fears regarding the surgery, which can help tailor the support and interventions provided. By encouraging the client to express his emotions, the nurse can establish rapport, build trust, and provide individualized care. Options B, C, and D do not address the client's emotional state directly and may not effectively address his anxiety. Reading material or walking may not alleviate his anxiety, and referring to the pastoral care team may not address his immediate concerns. Overall, option A promotes effective communication and understanding of the client's emotional needs.
Question 3 of 5
A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Anorexia nervosa is often associated with amenorrhea, distorted body image, excessive activity, and bradycardia due to malnutrition.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Psychomotor agitation. In major depressive disorder, psychomotor agitation is a common symptom characterized by restlessness, pacing, handwringing, or tapping. This is due to internal feelings of distress and anxiety. Dismissal of past failures (
A) is not a typical finding, as individuals with major depressive disorder often ruminate on past failures. An increase in energy (
C) is unlikely, as fatigue and low energy levels are common in depression.
Choices D, E, F, and G are not applicable.
Question 5 of 5
A nurse is caring for a client who is hospitalized and says to the nurse, "My partner called and told me my boss hired someone to take my place." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Acknowledging the client’s emotions promotes therapeutic communication.