ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to encourage the client to participate in physical activities (
Choice
C). This is because engaging in physical activities can help the client release excess energy and reduce agitation often seen in manic episodes of bipolar disorder. Physical activities can also promote a sense of well-being and improve mood. Group therapy (
Choice
A) may not be suitable during a manic episode as the client may have difficulty focusing and may disrupt the session. Rotating staff members (
Choice
B) may lead to inconsistency in care and disrupt the therapeutic relationship. Distracting the client with increased environmental stimuli (
Choice
D) may exacerbate the manic symptoms rather than help manage them.
Question 2 of 5
A nurse is reviewing the medical records for clients. Which of the following findings should the nurse identify as a risk factor for violent behavior?
Correct Answer: B
Rationale: The correct answer is B: Alcohol intoxication. Alcohol intoxication can impair judgment, lower inhibitions, and lead to aggressive behavior, increasing the risk for violence. It is a well-known risk factor for violent behavior due to its effects on the brain and behavior. Schizoid personality disorder (
A) is characterized by social detachment, not necessarily violence. Dysthymic disorder (
C) is a chronic low mood condition, not directly linked to violent behavior. Long-term isolation (
D) may contribute to mental health issues but does not directly indicate a risk for violent behavior in the same way as alcohol intoxication.
Question 3 of 5
A nurse is assisting with obtaining informed consent from a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Request that the client’s guardian sign the consent. When a client is declared legally incompetent, their guardian is legally responsible for making decisions on their behalf, including providing consent for medical procedures. The guardian is appointed to act in the best interest of the client and has the authority to make decisions related to their care. Contacting the facility social worker (
A) may be necessary for support, but the guardian is the appropriate person to provide consent. Explaining implied consent to the client’s family (
B) is not sufficient as the guardian must sign the consent. Asking the charge nurse (
D) is not appropriate as the guardian has the legal authority. The other choices are left blank as they are not relevant to the situation.
Question 4 of 5
A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Changing the AP's assignment is appropriate because it addresses the AP's feelings of irritation in a professional manner. It ensures the client's care is not compromised due to the AP's negative emotions. It shows empathy towards the AP's concerns while prioritizing the client's well-being.
Summary:
A: Minimizes the client's feelings and does not address the AP's issue.
B: Focuses on the client's needs but does not address the AP's feelings.
C: Invalidates the AP's emotions and does not promote a supportive environment.
D: Addresses both the AP's feelings and the client's care effectively.
E, F, G: Not provided.
Question 5 of 5
A nurse is caring for a client who has obsessive-compulsive disorder and engages in repeated handwashing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Allow the client additional time to complete rituals. This approach aligns with the principles of therapeutic communication and understanding of OCD. By allowing the client additional time, the nurse acknowledges and respects the client's struggle with compulsions without reinforcing or challenging the behavior. Encouraging the client to stop washing hands (
A) can be counterproductive as it may increase anxiety and resistance. Setting strict time limits (
C) may intensify distress and lead to potential non-compliance. Ignoring the client's behavior (
D) can create feelings of abandonment and hinder the therapeutic relationship.