ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Rapid continuous speech spending large sums of money and flirtatious behavior are indicative of mania characterized by pressured speech impulsivity and inappropriate social interactions. Sleeping for long periods and dressing in dark clothing are more associated with depression.
Question 2 of 5
A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.8
Rationale: Solution: Volume (mL) = Dose (mg) / Concentration (mg/mL). Dose = 30 mg Concentration = 40 mg/mL. So Volume = 30 mg / 40 mg/mL = 0.75 mL rounded to 0.8 mL.
Question 3 of 5
A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?
Correct Answer: A
Rationale: The sympathetic nervous system is responsible for the "fight or flight" response which is triggered during times of anxiety stress or fear. It increases heart rate blood pressure and prepares the body to respond to perceived threats aligning with the client's severe anxiety.
Question 4 of 5
A nurse in the emergency department is caring for a client who reports chest pain,headache,and shortness of breath. He continues to state,I don't know why my wife left me. The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?
Correct Answer: A
Rationale: The client's physical symptoms (chest pain headache shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety which is marked by intense physical and emotional distress. Moderate mild and severe anxiety do not present with such intense physical symptoms.
Question 5 of 5
Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?
Correct Answer: B
Rationale: Agoraphobia is characterized by a fear of situations where escape might be difficult or help unavailable leading to avoidance behavior such as being unable to leave home. It often co-occurs with panic disorder. Other disorders do not specifically involve this avoidance behavior.