ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: The client demonstrates that they are oriented to person, place, and time. This indicates the client's mental status and ability to make informed decisions. Removing restraints when the client is oriented helps ensure their safety and autonomy.
Choice B is incorrect as refusal of medication is not necessarily a reason to remove restraints.
Choice C is incorrect as self-harm risk does not automatically mean restraints should be removed.
Choice D is incorrect as following commands does not indicate the client's cognitive functioning or orientation level.
Extract:
Medical History
A 21-year-old client was brought to the emergency department by their college friend. The friend reports that the client has been in their room for a week and has not bathed or attended class for one week. Current medications include venlafaxine 150 mg daily. The client denies the use of over-the-counter and herbal medications but has thought about starting St. John’s Wort to help with symptoms.
Nurses’ Notes
0800: The client is dressed in wrinkled sweatpants, a stained t-shirt, and is sitting alone at breakfast. The client ate one bite of toast. The client makes no eye contact, stands up slowly, and asks to go back to the room to sleep.
0945: The client is out in the day room after sleeping for 1 hour. The client is walking with their head down. The client reports having no interest in classes or contacting friends and states, “I just feel so sad and hopeless right now.” The client lost their parents in a car accident at age 18 and fell into a deep depression. The client tried therapy and an antidepressant and found the interventions effective.
Question 2 of 5
A behavioral health unit nurse is caring for a newly admitted client.Exhibits:Complete the following sentence by using the lists of options: The client demonstrates risk for ___ due to ___.
Correct Answer: A,B
Rationale: Action to Take: A, B; Potential Condition: -; Parameter to Monitor: D, E.
Rationale:
- Feelings of hopelessness and powerlessness are common in clients at risk for self-harm, as they may feel overwhelmed and lack control. Monitoring self-harm behaviors and sleep disturbances (insomnia) can help assess the client's safety and mental well-being. Inadequate nutrition is not directly related to the client's risk for self-harm. The inclusion of "hopelessness" as a parameter to monitor is redundant since it is already mentioned in the correct actions to take.
Extract:
Question 3 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: C
Rationale: The correct answer is C. A client with bipolar disorder exhibiting poor impulse control poses a safety risk due to potential impulsive behaviors like self-harm or harm to others. Updating the plan of care to address impulse control can prevent crises. Clients in options A, B, and D also have significant needs, but they do not pose an immediate safety risk like poor impulse control. Option A's fear of gaining weight may need intervention, but it does not directly threaten safety. Option B's tangential associations may indicate a need for medication adjustment but do not pose an imminent safety risk. Option D's memory issues in Alzheimer's may require support but do not directly impact safety.
Question 4 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression.
Therefore, improvement in depressive symptoms indicates the treatment's effectiveness. Reduced frequency of seizures (
A) is not relevant to ECT. Reduced panic attacks (
B) and decreased fear of heights (
D) are not direct indications of ECT effectiveness. Make sure to monitor for potential side effects of ECT such as memory problems.
Question 5 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's bathroom trips. This is crucial in managing bulimia nervosa as it helps assess potential purging behavior, which is common in individuals with this disorder. Monitoring bathroom trips allows the nurse to intervene promptly if the client engages in harmful behaviors like self-induced vomiting.
Choice B is incorrect because allowing the family to bring food may enable the client's disordered eating patterns.
Choice C is incorrect as clients with bulimia nervosa often struggle with creating healthy meal schedules, so guidance from healthcare professionals is essential.
Choice D is incorrect because excessive exercise can contribute to the maintenance of the disorder.