ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.)
Correct Answer: B,C,D,,E
Rationale: The correct factors to include in the assessment for the older adult client's successful role transition to widowhood are: B, C, D, and E. Firstly, the client's willingness to attend a support group (
B) is important for accessing emotional support. Secondly, the client's current health status (
C) is crucial as it can impact their ability to cope with the transition. Thirdly, the client's family support system (
D) plays a key role in providing practical and emotional support during this difficult time. Lastly, the client's involvement in a spiritual community (E) can provide additional sources of comfort and support.
Incorrect choices:
A: The client's advance directives status - While important for healthcare decision-making, it is not directly relevant to the client's transition to widowhood.
F: Blank choice - This is not a valid response as it does not provide any relevant information.
G: Blank choice - Same as choice F, it does not contribute to the assessment of the client
Question 2 of 5
A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider,which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale: Conducting a debriefing regarding the client with the unit staff is essential in ensuring continuity of care, discussing the client's behavior, potential triggers, and strategies for de-escalation. This promotes a collaborative approach and enhances staff awareness to prevent future aggressive behaviors. It also allows for sharing insights and improving the care plan.
Incorrect Answers:
A: Documenting the client's behavior once every hour is important for monitoring, but it does not address the need for a debriefing or evaluation.
B: Keeping the client in restraints until the prescription expires is not appropriate as restraints should be used for the shortest duration necessary and reevaluated regularly.
D: Requesting an evaluation of the client within 12 hours of restraint application is important, but it does not address the immediate need for debriefing and collaboration with unit staff.
Question 3 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a structured schedule of daily activities. This is important for clients with obsessive-compulsive disorder as it helps establish predictability and routine, which can reduce anxiety and provide a sense of control. Structured activities can help the client focus their energy and attention away from obsessive thoughts and compulsive behaviors.
Other choices are incorrect:
A: Using detailed explanations may overwhelm the client with OCD and contribute to increased anxiety.
B: Maintaining a stimulating environment may exacerbate symptoms by increasing distractions and potential triggers.
D: Limiting time for rituals can be too restrictive and may lead to increased anxiety and distress for the client.
Question 4 of 5
A nurse is caring for a client who is experiencing visual hallucinations followed by impaired consciousness as a result of alcohol withdrawal. Which of the following conditions should the nurse identify as causing these manifestations?
Correct Answer: D
Rationale: The correct answer is D: Delirium. Delirium is a state of acute confusion and disorientation with impaired consciousness. In alcohol withdrawal, delirium tremens can occur, leading to visual hallucinations and altered mental status. Autonomic dysreflexia (choice
A) is usually associated with spinal cord injuries, not alcohol withdrawal. A synergistic effect (choice
B) refers to an interaction between two or more substances that amplifies their effects, not a specific condition. Sleep deprivation (choice
C) can cause hallucinations but is not the primary cause in this scenario.
Question 5 of 5
A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use simple words to describe procedures to the client. This intervention is appropriate for a client with panic disorder as it helps reduce anxiety by providing clear and easily understandable information. Using simple words can help the client feel more in control and less overwhelmed. Encouraging attending group therapy (
A) may be beneficial but not specific to managing panic attacks. Allowing the client to choose daily activities (
B) may not address the immediate need for managing panic symptoms. Avoiding triggers (
D) is important, but it does not actively help the client understand and cope with their condition.