ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Echolalia, or repeating words/phrases, is a common communication pattern in autism spectrum disorder.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Significant change in weight. In major depressive disorder (MD
D), clients commonly experience changes in appetite, leading to weight loss or gain. This occurs due to alterations in serotonin levels affecting hunger and satiety. Weight changes are often associated with feelings of worthlessness and guilt in MDD. Hyperexcitability (
B) is not a typical finding in MDD, as individuals with depression often report feeling fatigued or lethargic. Exaggerated response to stimuli (
C) is more indicative of anxiety disorders rather than MDD. Attention-seeking behavior (
D) is not a characteristic symptom of MDD but may be seen in other mental health conditions.
Question 3 of 5
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: A
Rationale: A close connection to someone who has died by suicide is a known risk factor for adolescent suicide.
Question 4 of 5
A client at 36 weeks gestation has just delivered a stillborn baby. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You may hold your baby as long as you want." This statement allows the client to process the loss by spending time with their baby. It promotes bonding, closure, and helps in the grieving process.
Choice A is inappropriate as it shifts focus from the client to the nurse.
Choice C may not be what the client desires and may not address their immediate needs.
Choice D is insensitive, dismissive, and invalidates the client's emotions.
Question 5 of 5
A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)
Correct Answer: A, B, D
Rationale: MSE evaluates cognitive function, including memory, emotional expression (affect), and self-care abilities (grooming).