ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Ask him to describe what he is feeling. This response allows the nurse to assess the client's specific concerns and fears regarding the surgery, which can help tailor the support and interventions provided. By encouraging the client to express his emotions, the nurse can establish rapport, build trust, and provide individualized care. Options B, C, and D do not address the client's emotional state directly and may not effectively address his anxiety. Reading material or walking may not alleviate his anxiety, and referring to the pastoral care team may not address his immediate concerns. Overall, option A promotes effective communication and understanding of the client's emotional needs.
Question 4 of 5
A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale:
Correct Answer: B - Constipation
Rationale:
1. Anorexia nervosa often leads to reduced food intake and inadequate nutrition, causing decreased bowel movements and constipation.
2. Constipation is a common gastrointestinal symptom in individuals with anorexia nervosa due to low fiber intake and dehydration.
3. Tachycardia (
A) is more commonly associated with starvation and electrolyte imbalances in anorexia nervosa.
4. Menorrhagia (
C) refers to heavy menstrual bleeding and is not a typical finding in anorexia nervosa.
5. Hyperkalemia (
D) is unlikely in anorexia nervosa as it is more commonly associated with kidney disease or excessive potassium intake.
Question 5 of 5
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hand tremors are a common early symptom of alcohol withdrawal.