ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: D
Rationale: The correct answer is D: "How has this impacted your life?" This question allows the nurse to assess the client's emotional response, coping mechanisms, and overall adjustment to the stroke. By understanding the client's perspective, the nurse can provide tailored support.
A: "Why do you think this has happened?" is not the best choice as it focuses on the cause of the condition rather than the client's coping strategies.
B: "Are you okay with not being able to do some things you used to do?" is limiting and may not capture the full extent of the client's experience.
C: "Is anyone available to assist you with your hygiene?" is too specific and does not address the broader impact of the stroke on the client's life.
In summary, asking the client how the stroke has impacted their life (
D) is the most appropriate question to assess coping mechanisms and provide holistic care.
Question 2 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Cocaine is a stimulant drug that causes vasoconstriction and increases heart rate, leading to elevated blood pressure. This is due to the release of catecholamines like norepinephrine. Cocaine does not typically cause hypothermia or bradycardia. Hypothermia is more commonly associated with sedative overdose, and bradycardia is not a typical effect of stimulant drugs like cocaine.
Therefore, in a client who has recently used cocaine, the nurse should expect hypertension as a common clinical manifestation.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: D
Rationale: The correct answer is D because reporting a lack of sleep is a classic symptom of acute mania in bipolar disorder. During manic episodes, individuals often experience decreased need for sleep or even insomnia. This can lead to heightened energy levels, racing thoughts, and increased impulsivity. Writing a detailed daily activity schedule (
A) may suggest organization rather than mania. Refusing to engage in conversation (
B) and isolating self from others (
C) are more indicative of depression or social withdrawal, which are not specific to acute mania.
Question 4 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Provide written information about the client's treatment plan. For a client with paranoid personality disorder, providing written information is important as it helps establish trust and transparency in the nurse-client relationship. Written information can reduce the client's anxiety about the treatment plan and provide a sense of control over their care. Monitoring for splitting behaviors (
A) is not directly related to paranoid personality disorder. Isolating the client (
B) goes against the therapeutic goal of promoting social interactions. Encouraging countertransference (
D) is inappropriate as it involves the nurse projecting their feelings onto the client, which can hinder the therapeutic process.
Question 5 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:
Correct
Answer: A: Inform the client that they have the legal right to refuse treatment at any time.
Rationale: The correct answer is A because it is essential to respect the client's autonomy and right to make decisions about their own healthcare. Informed consent is a fundamental principle in healthcare and the client has the right to accept or refuse treatment. By informing the client of their right to refuse the procedure, the nurse upholds ethical principles and promotes patient-centered care.
Summary:
B: Encouraging the client to have the procedure disregards the client's autonomy and right to make decisions.
C: Obtaining consent from the client's family member is not appropriate as the decision should be made by the competent client.
D: Requesting another nurse to review the procedure does not address the client's right to refuse treatment.