ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Psychomotor agitation. In major depressive disorder, psychomotor agitation is a common symptom characterized by restlessness, pacing, handwringing, or tapping. This is due to internal feelings of distress and anxiety. Dismissal of past failures (
A) is not a typical finding, as individuals with major depressive disorder often ruminate on past failures. An increase in energy (
C) is unlikely, as fatigue and low energy levels are common in depression.
Choices D, E, F, and G are not applicable.
Question 2 of 5
A nurse is caring for a client who has schizophrenia. The client states, "The government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?
Correct Answer: A
Rationale: Persecutory delusions involve irrational beliefs that one is being targeted or harmed by external forces.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me all the time, and they are trying to poison my food." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You seem to be having very frightening thoughts." This response acknowledges the client's feelings without denying their beliefs. It shows empathy and validates the client's experience, promoting trust and rapport. Answer A is dismissive and may lead to defensiveness. Answer C may come off as confrontational. Answer D may encourage the client to elaborate on paranoid beliefs. Overall, choice B is the most therapeutic and supportive response in this situation.
Question 4 of 5
A nurse is providing teaching about confidentiality with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Confidentiality may be broken if required by law, such as with a court order.
Question 5 of 5
A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: Dark-colored urine may indicate liver toxicity, which is a rare but serious side effect of orlistat.