ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator.” Which of the following findings is this client exhibiting?
Correct Answer: B
Rationale: The correct answer is B: Grandiosity. The client's belief that they possess extraordinary abilities and can achieve unrealistic feats, such as flying home and becoming a U.S. Senator, reflects grandiosity, a common symptom of bipolar disorder's manic phase. This symptom is characterized by an inflated sense of self-importance and unrealistic beliefs about one's abilities. Flight of ideas (choice
A) refers to rapid, disorganized thinking, not necessarily related to grandiosity. Impaired reality testing (choice
C) involves difficulty distinguishing between what is real and what is not, which is not the primary feature exhibited by the client in the scenario. Depersonalization (choice
D) involves feeling detached from oneself, which is not evident in the client's statement.
Question 2 of 5
A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?
Correct Answer: D
Rationale: Re-experiencing traumatic events through nightmares is a key symptom of PTSD.
Question 3 of 5
A nurse is providing teaching about confidentiality with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Confidentiality may be broken if required by law, such as with a court order.
Question 4 of 5
A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Speak to the client calmly, giving simple directions. This is the first action the nurse should take to de-escalate the situation. By speaking calmly and providing simple directions, the nurse can help the client regain control and potentially prevent further escalation of aggression. Calling for assistance to place the client in restraints (
A) should only be considered as a last resort to ensure safety. Escorting the client to an unlocked seclusion room (
B) may escalate the situation and should not be the first action. Offering the client a PRN antianxiety medication (
C) should come after attempting verbal de-escalation.
Question 5 of 5
A nurse is assigning a room to a client who is experiencing a manic episode. Which of the following is the most appropriate room selection?
Correct Answer: A
Rationale: A room close to the nursing station allows for close monitoring and quick intervention if necessary.