ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following statements by the client indicates progress in managing symptoms?
Correct Answer: A
Rationale: The correct answer is A because it indicates progress in managing symptoms by reducing the frequency of the compulsive behavior. Washing hands only once shows a decrease in the obsessive behavior compared to washing hands 20 times a day (choice
B), spending all day cleaning (choice
D), or being unable to leave the house without checking the stove (choice
C). By washing hands only once, the client is showing improvement in controlling the compulsions associated with obsessive-compulsive disorder.
Question 2 of 5
A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse ask to assess the client’s risk for withdrawal?
Correct Answer: A
Rationale: The correct answer is A: "How often do you drink alcohol?" This question is important to assess the frequency of alcohol consumption, which is a key factor in determining the risk of withdrawal. Higher frequency of alcohol consumption increases the likelihood of developing physical dependence and experiencing withdrawal symptoms when alcohol intake is reduced or stopped.
Choice B: "Do you feel guilty about your drinking?" is more related to assessing feelings of guilt and shame, not specifically withdrawal risk.
Choice C: "Have you ever tried to cut back?" focuses on attempts to reduce alcohol intake but does not directly assess the risk of withdrawal.
Choice D: "Do you drink to feel more social?" is related to the motive for alcohol consumption, not withdrawal risk.
In summary, assessing the frequency of alcohol consumption is crucial in determining the risk of withdrawal, making choice A the most appropriate question in this context.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following questions should the nurse ask to evaluate the client’s mood stability?
Correct Answer: A
Rationale: ‘How has your energy level been lately?’ is the best question to evaluate mood stability in bipolar disorder. Energy fluctuations can indicate manic (high energy) or depressive (low energy) episodes, key to assessing mood swings. ‘Do you enjoy your hobbies anymore?’ assesses anhedonia, more specific to depression than overall mood stability in bipolar disorder. ‘Have you been feeling sad all the time?’ focuses only on depressive symptoms, missing potential manic or hypomanic states. ‘Are you taking your medications as prescribed?’ checks adherence but doesn’t directly evaluate current mood stability.
Question 4 of 5
A nurse is assessing a client who has anorexia nervosa. Which of the following questions should the nurse ask to evaluate the client’s body image?
Correct Answer: A
Rationale: ‘How do you feel about your weight?’ directly evaluates body image, a core issue in anorexia nervosa. It explores the client’s perception, often distorted, of their body size or shape. ‘Are you eating enough each day?’ assesses intake but not the client’s thoughts or feelings about their body. ‘Do you feel tired all the time?’ checks for fatigue, a physical symptom, not body image perception. ‘Have you been exercising a lot?’ explores behavior but doesn’t address how the client views their body, central to anorexia.
Question 5 of 5
A nurse is assessing a client who has major depressive disorder. Which of the following questions should the nurse ask to assess the client’s risk for suicide?
Correct Answer: A
Rationale: ‘Have you been thinking about hurting yourself?’ directly assesses suicide risk, a critical concern in major depressive disorder. It prompts the client to reveal suicidal ideation or intent, guiding safety interventions. ‘Are you sleeping well at night?’ evaluates sleep, a symptom of depression, but not specific to suicide risk. ‘Do you feel motivated to do things?’ assesses anergia or anhedonia, common in depression, but not a direct indicator of suicidal thoughts. ‘Have you been eating regularly?’ checks appetite, a depression symptom, but doesn’t address suicide risk explicitly.