ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a depressive disorder. The client states, "I just can't feel any happiness or joy in life." Which of the following terms should the nurse use when documenting this finding?
Correct Answer: A
Rationale: The correct answer is A: Anhedonia. Anhedonia refers to the inability to experience pleasure or joy, which is a common symptom of depressive disorders. In this scenario, the client explicitly mentions the inability to feel happiness or joy, aligning with the definition of anhedonia.
B: Anergia refers to lack of energy or physical weakness, which is not directly related to the client's statement.
C: Anosognosia is a lack of awareness or insight into one's own condition, which is not the same as the client's statement about the inability to feel happiness or joy.
D: Akathisia is a movement disorder characterized by restlessness and the inability to sit still, which is not relevant to the client's statement.
Question 2 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism. Thyroid function tests can help diagnose this condition. Pancreatitis (
A), cholecystitis (
B), and tuberculosis (
C) are not typically associated with major depressive episodes. The nurse should focus on ruling out medical conditions that are more likely to cause mood disturbances.
Therefore, hypothyroidism is the most appropriate condition to investigate in this scenario.
Question 3 of 5
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answer includes substance use disorder (
A), age greater than 45 years old (
B), and schizophrenia (E) as risk factors for suicide. Substance use disorder can lead to impaired judgment and increased impulsivity, increasing the risk of suicidal behavior. Individuals over 45 years old often face life changes such as retirement or health issues that can contribute to feelings of hopelessness. Schizophrenia is a severe mental illness associated with a higher risk of suicide due to symptoms such as hallucinations and delusions.
Choices C and D (female gender and currently married) are incorrect as suicide rates are higher in males and marital status alone does not determine suicide risk.
Question 4 of 5
A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Acknowledging the client’s emotions without confrontation helps de-escalate the situation.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?
Correct Answer: B
Rationale: The correct answer is B: Walking with the nurse in the courtyard. Walking provides physical activity, which can help release excess energy often seen in manic phases. It also allows for one-on-one interaction with the nurse, providing a calming and grounding effect. Watching a video (
A) may not engage the client physically. Participating in a basketball game (
C) could be too stimulating and competitive. Joining a group discussion (
D) may be overwhelming due to the fast-paced nature of manic episodes.