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 running around the unit asking people to dance with her. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Walk the client outside and sit with her in the garden area. This intervention allows the client to engage in physical activity in a safe space, promoting relaxation and redirection of excess energy. It also provides a change of environment and sensory stimulation, which can help regulate mood in bipolar disorder. Turning on a dance video (
A) may not address the client's need for social interaction and may not be as effective in reducing manic behavior. Offering a low-calorie snack (
B) may not address the underlying issue of manic behavior and could reinforce the behavior in exchange for a reward. Observing for aggressive behavior (
D) is important but does not actively address the current manic behavior.
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia refer to deficits or reductions in normal emotional, cognitive, or behavioral functioning. Social withdrawal is a classic negative symptom, reflecting a loss of interest in social interactions. Delusions (
A) and hallucinations (
B) are positive symptoms, representing distortions in thoughts and perceptions. Agitation (
D) is a symptom of increased motor activity or restlessness, not a negative symptom. Flat affect (E) is also a negative symptom, but social withdrawal is a more direct example of a negative symptom compared to flat affect.
Question 3 of 5
A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?
Correct Answer: A
Rationale: Assessing for psychotic thinking is the highest priority as it determines if the client is at risk for harm to self or others.
Question 4 of 5
A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inspect the client's personal belongings. This is important to ensure the client's safety by removing any potentially harmful items. Placing metal utensils (
A) could pose a danger. Assigning to a private room (
B) may increase isolation. Tucking bedcovers (
D) may restrict movement.
Question 5 of 5
A nurse is caring for a client who has rheumatoid arthritis and tells the nurse that she wears a copper bracelet to help her feel better. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A because it acknowledges and validates the client's feelings without dismissing her beliefs. It shows empathy and supports the therapeutic relationship.
Choice B could come off as confrontational and may lead to the client feeling defensive.
Choice C may make the client feel invalidated and dismissed.
Choice D may be seen as judgmental and could damage the trust between the nurse and client.
Therefore, choice A is the best response to maintain a positive and trusting relationship with the client.