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 and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. The nurse should explain that antidepressants often take several weeks to be fully effective. Citalopram, like other antidepressants, typically takes around 4-6 weeks to show significant improvement in depressive symptoms. It is important for the nurse to educate the client about the delayed onset of action to manage expectations and encourage adherence to the treatment plan. Adding an MAOI (choice
A) or changing the medication (choice
C) prematurely is not recommended as the current medication may still be effective with more time. Recommending a sleep study (choice
D) is not necessary at this point as the client's sleep issues are likely related to the underlying depression.
Question 2 of 5
A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering presence without pressuring the client to talk provides comfort and support.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Correct Answer: A, B, C, E
Rationale: The correct answer includes characteristics that are commonly associated with obsessive-compulsive disorder (OC
D).
A: Difficulty relaxing - Individuals with OCD often experience persistent intrusive thoughts or obsessions, leading to heightened anxiety and difficulty relaxing.
B: Irrational fear of certain objects - OCD can manifest as specific fears or obsessions that are irrational and intrusive, causing distress and leading to compulsive behaviors.
C: Rule-conscious behavior - People with OCD tend to adhere rigidly to self-imposed rules or rituals to manage their anxiety and obsessions.
E: Perfectionist behavior - Perfectionism is a common trait in individuals with OCD, as they may feel the need to perform tasks perfectly to alleviate anxiety associated with obsessions.
Incorrect choices:
D: Unaware of compulsions - Individuals with OCD are usually aware of their compulsive behaviors, as these actions are driven by the need to reduce anxiety related to obsessions.
Question 4 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 5 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.