ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. This action promotes open communication and allows the nurse to provide support and guidance to help the client manage her urge to overexercise. It also helps in monitoring the client's behavior and intervening when necessary to prevent harm.
Choice A is incorrect because praising the client for looking at herself in a mirror may reinforce unhealthy behaviors associated with body image.
Choice C is incorrect as reprimanding the client may increase feelings of shame and guilt, worsening the situation.
Choice D is incorrect because restricting the client from being weighed may not address the underlying issue of overexercising.
Question 2 of 5
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and is now pacing up and down the corridors of the unit. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Walking with the client helps provide support while allowing them to work through their anxiety.
Question 3 of 5
A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: The correct answer is D because it reflects an understanding of the Tarasoff duty, which obligates healthcare providers to warn potential victims if a client poses a threat of harm. This duty overrides client confidentiality to prevent harm to others. Option A is incorrect as confidentiality still applies after a client's death. Option B is incorrect as disclosing information to attorneys without consent violates confidentiality. Option C is incorrect as healthcare workers must comply with court requests unless protected by privilege. Option D is the correct choice as it aligns with legal and ethical responsibilities to protect potential victims.
Question 4 of 5
Which medication is commonly prescribed to treat obsessive-compulsive disorder (OCD)?
Correct Answer: A
Rationale:
Step-by-step rationale for why Paroxetine (
A) is the correct answer:
1. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat OCD.
2. SSRIs help increase serotonin levels in the brain, which can alleviate OCD symptoms.
3. Clinical studies have shown the effectiveness of Paroxetine in reducing obsessions and compulsions in OCD patients.
4. Lithium (
B), Donepezil (
C), Valproate (
D), and Carbamazepine (E) are not typically prescribed for OCD.
Summary:
Paroxetine is the correct choice due to its specific mechanism of action targeting serotonin levels, supported by clinical evidence. Other options lack efficacy or are not commonly used for OCD treatment.
Question 5 of 5
A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?
Correct Answer: A
Rationale: The correct answer is A. This statement indicates understanding of the exposure therapy approach for agoraphobia, where the client gradually exposes themselves to feared situations. Sitting on a park bench signifies a step towards facing open spaces.
Choice B involves group therapy, which may not directly address agoraphobia.
Choice C with a book club does not specifically target agoraphobia.
Choice D suggests avoidance, which can reinforce fear.