ATI RN Mental Health 2023 Exam 3 | Nurselytic

Correct Answer: A

Rationale: The correct answer is A because the client's statement indicates a conflict between their spiritual practice (daily meditation time) and their therapy schedule, leading to potential spiritual distress. This conflict may disrupt the client's spiritual well-being.
B is incorrect as the increased visits from the spiritual advisor suggest support rather than distress. C indicates the client finds comfort in meditation, not distress. D shows that the client's faith provides hope, which is a positive aspect of their spiritual beliefs.

Correct Answer: C

Rationale: The correct answer is C because informing the social worker that the client will be unable to return home after discharge is essential for coordinating appropriate post-discharge care, such as arranging alternative living arrangements or support services. This information is crucial for the social worker to address the client's social and environmental needs.


Choice A is incorrect because difficulty remembering food restrictions is more relevant to the healthcare team managing the client's medical needs, not specifically the social worker.
Choice B is incorrect as addressing frustration with finding an activity relates more to the client's emotional well-being and may be better suited for a counselor or occupational therapist.
Choice D is incorrect as discussing changes in spiritual beliefs is typically more appropriate for a chaplain or spiritual counselor.

Correct Answer: C

Rationale: The correct answer is C. A client with bipolar disorder exhibiting poor impulse control poses a safety risk due to potential impulsive behaviors like self-harm or harm to others. Updating the plan of care to address impulse control can prevent crises. Clients in options A, B, and D also have significant needs, but they do not pose an immediate safety risk like poor impulse control. Option A's fear of gaining weight may need intervention, but it does not directly threaten safety. Option B's tangential associations may indicate a need for medication adjustment but do not pose an imminent safety risk. Option D's memory issues in Alzheimer's may require support but do not directly impact safety.

Correct Answer: C

Rationale: The correct answer is C. Reporting eating twice in the past week is a critical finding to report because it indicates a significant decrease in nutritional intake, which can lead to serious health complications. This is particularly concerning in the context of mania, as individuals experiencing manic episodes may neglect self-care, including eating regularly. In contrast, choices A, B, and D are all common behaviors associated with mania but do not pose an immediate threat to the client's physical health.
Choice A may indicate a hygiene issue, choice B is a symptom of pressured speech often seen in mania, and choice D reflects disinhibition commonly observed in manic states. However, these behaviors do not directly jeopardize the client's well-being in the same way as severe nutritional deprivation.

Correct Answer: A

Rationale: The correct answer is A: Monitor for suicidal ideation. This is the priority intervention because individuals with depression are at increased risk for suicide. Monitoring for suicidal ideation allows for early detection and intervention. Encouraging social isolation (
B) is incorrect as social support is crucial in managing depression. Increasing sedative medication (
C) may lead to dependence and does not address the underlying issues. Teaching relaxation techniques (
D) is helpful but not the priority when dealing with potential suicidal risk.