ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: Can you tell me how you have been feeling lately? This open-ended question allows the nurse to gather more information about the client's emotional state and assess the severity of the situation. It shows empathy and encourages the client to express their feelings.
Choice A minimizes the client's emotions.
Choice C may come off as judgmental.
Choice D jumps to a solution without addressing the client's current emotional needs.
Question 2 of 5
A nurse is caring for a school-age child who has conduct disorder and is in physical restraints after becoming physically aggressive toward other clients on the unit. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor the child's vital signs every 15 minutes. This action is essential to ensure the child's safety while in restraints. Monitoring vital signs helps the nurse assess the child's physiological response to the restraints, such as changes in heart rate, blood pressure, and respiratory rate. This allows for early detection of any complications or distress, enabling prompt intervention if necessary. It is crucial to closely monitor vital signs in this situation to prevent any adverse outcomes related to the use of physical restraints. Keeping the restraints on for a minimum of 1 hour (
A) is not appropriate as the duration should be based on the child's behavior and safety. Asking the provider to renew the prescription for the restraints every 24 hours (
C) is important but not the immediate priority. Arranging an in-person evaluation by the child's provider within 2 hours of initiating restraints (
D) is also important, but monitoring vital signs is the more immediate and critical action
Question 3 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: B
Rationale: The correct answer is B: The client is constantly talking. In mania, individuals often exhibit rapid speech, talking excessively and rapidly due to racing thoughts. This is a key feature of mania in bipolar disorder. Expressing feelings of inferiority (choice
A) is more indicative of depression. Sleeping over 10 hours a day (choice
C) is more characteristic of depression or sedation from medication. Memory loss (choice
D) can occur in various conditions but is not specific to mania.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: B
Rationale: The correct answer is B: Autonomy. Autonomy refers to the principle of respecting an individual's right to make their own decisions regarding their healthcare. By supporting the client's refusal of medications, the nurse is upholding the client's autonomy and right to make choices about their own treatment. Veracity (
A) relates to truthfulness, not applicable here. Beneficence (
C) involves acting in the best interest of the client, which may conflict with autonomy in this case. Justice (
D) pertains to fairness and equal treatment, not relevant to the client's refusal of medications.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: Can you tell me how you have been feeling lately? This open-ended question allows the nurse to gather more information about the client's emotional state and assess the severity of the situation. It shows empathy and encourages the client to express their feelings.
Choice A minimizes the client's emotions.
Choice C may come off as judgmental.
Choice D jumps to a solution without addressing the client's current emotional needs.