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: Demonstrating orientation to person, place, and time suggests cognitive stability, indicating the client may no longer pose a risk, allowing restraint removal. Refusal of medication or threats of self-harm suggest ongoing risk, and following commands alone isn’t sufficient without broader assessment.
Question 2 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because it's too noisy.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Reducing noise by keeping conversations and activities minimal at night directly addresses the client’s sleep issue, improving rest critical for eating disorder recovery. Habituation dismisses the concern, daytime sleep disrupts circadian rhythm, and TV adds new disturbances.
Question 3 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Dizziness is a common adverse effect of quetiapine, often due to orthostatic hypotension, not an allergy. This response reassures the client and explains the cause, suggesting management like rising slowly. Meals don’t address dizziness, stopping for allergy is incorrect, and morning timing doesn’t mitigate it.
Question 4 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Informing the client of their right to refuse respects autonomy and addresses anxiety by empowering choice. Encouragement may coerce, family consent is inappropriate unless incompetent, and another nurse’s review doesn’t override refusal.
Question 5 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: A
Rationale: This statement indicates spiritual distress because it reflects a disruption in the client’s spiritual practice due to therapy scheduling. Meditation, a key spiritual routine, being interrupted can lead to disconnection and distress. Increased advisor visits, comfort from meditation, and faith giving hope suggest spiritual strength, not distress.