ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?
Correct Answer: A
Rationale: The correct answer is A: Experiencing diarrhea. Diarrhea can lead to dehydration and electrolyte imbalances, causing an increase in lithium levels and potential toxicity. Exercising moderately (
B) can help with mood stabilization and is not a risk factor for lithium toxicity. Increasing sodium intake (
C) can actually help reduce lithium levels in the body. Drinking green tea (
D) does not interact significantly with lithium.
Question 2 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 3 of 5
A nurse is providing teaching to a client who has alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?
Correct Answer: C
Rationale: AA is based on the principle of acknowledging powerlessness over addiction and seeking support.
Question 4 of 5
A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Encouraging the parents to discuss their feelings helps with emotional processing and coping.
Question 5 of 5
A nurse is caring for a 48-year-old client who is grieving following the death of her husband seven months ago. The client reports that she has lost 30 lb and is having difficulty sleeping. Which of the following factors indicate the client is experiencing maladaptive grieving?
Correct Answer: C
Rationale: The correct answer is C: The client has lost 30 lb. This indicates maladaptive grieving as significant weight loss is a common physical manifestation of unresolved grief. The weight loss could be due to lack of appetite or neglecting self-care, both of which are concerning signs. Losing a large amount of weight within a short period can negatively impact the client's health and well-being.
Choices A, B, and D are not directly related to maladaptive grieving. Age (
A) and the time since the husband's death (
B) are not indicative of maladaptive grieving, as everyone grieves differently and at their own pace. Difficulty sleeping (
D) is a common symptom of grief but may not necessarily indicate maladaptive grieving on its own.