ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse,I should have died because I am totally worthless. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "You've been feeling that your life has no meaning." This response acknowledges the client's feelings of worthlessness and addresses the underlying issue of lack of meaning in life, which is a common issue in major depressive disorder. It shows empathy and understanding of the client's emotional state, opening up a dialogue for further exploration and support.
Choice A is incorrect because simply stating "You have a great deal to live for" may come across as dismissive of the client's feelings.
Choice B is incorrect as it minimizes the client's emotions by suggesting it's a common feeling among depressed individuals.
Choice D is incorrect as it puts the client on the spot and may make them feel defensive.
Question 2 of 5
A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client's plan of care,the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client the client says Why don't you shut up already? I can read it myself, you know! Which of the following responses should the nurse give the client?
Correct Answer: A
Rationale: The correct response is A: "I don't like it when you address me with that tone of voice." This response sets a boundary by addressing the client's inappropriate tone while expressing the nurse's feelings in a non-confrontational manner. It acknowledges the client's behavior without escalating the situation.
Choice B: "I know you can, but are you going to read it or not?" is dismissive and may further provoke the client.
Choice C: "Fine. Here is the schedule, and I will expect you to be on time to your therapies." does not address the client's disrespectful behavior and fails to set boundaries.
Choice D: "We do this every day. Why are you so angry with me this morning?" is confrontational and may escalate the situation.
In summary, response A is the most appropriate as it addresses the client's behavior, sets a boundary, and maintains a professional yet assertive approach.
Question 3 of 5
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?
Correct Answer: A
Rationale: The correct answer is A: Experiencing diarrhea. Lithium toxicity can occur when there is a decrease in fluid and sodium levels in the body, as seen in diarrhea. This can lead to an increase in lithium concentration in the blood, potentially causing toxicity. The other options are not directly related to lithium toxicity. Drinking green tea, exercising moderately, and increasing sodium intake do not typically result in lithium toxicity. In fact, increasing sodium intake can sometimes be recommended to help maintain lithium levels within the therapeutic range. It is essential for the nurse to emphasize the importance of monitoring for signs of dehydration and maintaining a consistent fluid and sodium intake while taking lithium to prevent toxicity.
Question 4 of 5
A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: "You must be very upset about something." This response demonstrates empathy and understanding towards the client's emotional state, which is important in psychiatric care. It acknowledges the client's distress without dismissing their concerns or being confrontational. It opens the door for the client to express their feelings and allows for further assessment of their needs.
Choice A is incorrect as it is dismissive and confrontational, which can escalate the situation.
Choice B is incorrect as it fails to acknowledge the client's emotional state and comes across as rigid.
Choice D is incorrect as it instructs the client without addressing their emotional needs. Overall, choice C is the most appropriate response in this scenario as it shows empathy and initiates a therapeutic interaction.
Question 5 of 5
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Correct Answer: A
Rationale: The correct answer is A: Separates easily from primary caregiver for short periods of time.
Toddlers typically begin to exhibit a level of independence and are able to separate from their primary caregiver without excessive distress. This is a key developmental task as they start to explore their environment and build self-confidence.
Choices B, C, and D are incorrect as they are not typically expected tasks for toddlers.
Toddlers are still developing their understanding of right and wrong, may not have the attention span or cognitive ability to explain the difference between right and wrong (choice
B). While toddlers can participate in simple tasks, such as putting toys away, they may not fully cooperate in doing simple chores (choice
C). Printing letters and numbers (choice
D) involves more fine motor skills and cognitive abilities that are typically developed later in childhood.