ATI RN
ATI NURS 4850 Mental Health 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 interventions should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Offer the client high-calorie snacks frequently. During a manic episode, individuals with bipolar disorder may have increased energy expenditure and decreased appetite. Providing high-calorie snacks helps ensure adequate nutrition intake. It also helps prevent potential weight loss and maintain energy levels. Encouraging the consumption of nutritious snacks supports the client's overall well-being.
Choice A: Encouraging detailed planning activities may exacerbate the client's agitation and impulsivity during a manic episode.
Choice C: Allowing the client to skip group therapy can lead to isolation and hinder therapeutic support.
Choice D: Keeping the environment highly stimulating can further escalate manic symptoms and may contribute to sensory overload.
Question 2 of 5
A nurse is performing an admission assessment for 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: Affective flattening. Negative symptoms in schizophrenia refer to deficits in emotional expression and motivation. Affective flattening is characterized by reduced emotional responsiveness, such as lack of facial expressions and poor eye contact. This is a negative symptom as it represents a decrease or absence of normal functions.
A: Bizarre behavior is a positive symptom, indicating the presence of abnormal behaviors.
B: Somatic delusions are also positive symptoms, involving false beliefs about the body.
D: Illogicality is a cognitive symptom, related to disorganized thinking rather than negative symptoms.
Question 3 of 5
A nurse is caring for a preschooler who has a new diagnosis of attention deficit hyperactivity disorder (ADHD). Which of the following behaviors should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Difficulty sustaining attention. Children with ADHD typically struggle with focusing on tasks or activities for extended periods. This is a hallmark symptom of the disorder. B is incorrect because ADHD can impair the child's ability to follow complex instructions. C is incorrect as children with ADHD may struggle with social interactions and prefer solitary play. D is incorrect as individuals with ADHD often have difficulties in adhering to rules consistently due to impulsivity and inattention.
Question 4 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client’s compulsive behaviors?
Correct Answer: A
Rationale:
Correct Answer: A. Plan the client’s schedule to allow time for rituals.
Rationale: It is important to understand that individuals with OCD often find comfort in their rituals and routines. By planning the client's schedule to incorporate time for these rituals, the nurse can help reduce the client's anxiety and promote a sense of control. This approach acknowledges the client's needs and fosters a therapeutic environment.
Incorrect
Choices:
B. Isolating the client may worsen their symptoms by increasing feelings of loneliness and distress.
C. Confronting the client about the senseless nature of their behaviors can lead to increased anxiety and resistance to treatment.
D. Setting strict limits may cause the client to feel overwhelmed and may exacerbate their symptoms.
Question 5 of 5
A nurse is providing teaching to the parents of a toddler about injury prevention. Which of the following safety measures should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Keep cleaning supplies locked in a cabinet. This safety measure is crucial to prevent accidental poisoning or ingestion by the toddler. Cleaning supplies contain harmful chemicals that can be toxic if ingested. By keeping them locked in a cabinet, the parents can ensure that the toddler does not have access to them.
Choices B, C, and D are incorrect. Allowing the toddler to play with toys that have small parts (
B) can pose a choking hazard. Storing heavy objects on high shelves (
C) can be dangerous as the toddler may try to climb and reach them, leading to potential injuries. Using a front-facing car seat in the back seat of the vehicle (
D) is not recommended for toddlers as they should be in a rear-facing car seat for safety.