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 helps assess the client's emotional response and coping mechanisms towards the stroke. By understanding the impact, the nurse can tailor support and interventions accordingly.
Choice A focuses on causation rather than coping.
Choice B assumes the client is not okay with limitations.
Choice C addresses practical assistance, not coping.
Question 2 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale:
Correct
Answer: B, C, E
Rationale:
B: Installing sensor devices on outside doors will alert the caregiver if the client tries to wander at night, preventing falls and ensuring safety.
C: Positioning the mattress on the floor reduces the risk of injury if the client falls out of bed during the night.
E: Putting locks at the top of doors can prevent the client from wandering outside at night, reducing the risk of falls and injuries.
Incorrect
Choices:
A: Placing the client in a reclining chair may not address the wandering issue and could lead to discomfort or pressure ulcers.
D: Encouraging physical activity prior to bedtime may increase restlessness and agitation, potentially worsening the wandering behavior.
Other options are not provided, but it's important for the caregiver to maintain a safe environment and provide appropriate supervision for the client.
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:
Correct
Answer: D - Reports a lack of sleep
Rationale:
1. Lack of sleep is a hallmark symptom of acute mania in bipolar disorder.
2. During acute mania, individuals often experience reduced need for sleep or insomnia.
3. This symptom can lead to increased energy levels, impulsivity, and agitation.
4. The nurse should prioritize addressing the client's sleep disturbance to prevent exacerbation of manic symptoms.
Other
Choices:
A: Writing a detailed daily activity schedule is not necessarily indicative of acute mania. It could be a coping mechanism or part of a structured routine.
B: Refusing to engage in conversation may suggest social withdrawal, but it is not specific to acute mania.
C: Isolating oneself from others can be a sign of depression or anxiety, but it does not directly indicate acute mania.
Question 4 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct instructions are B, C, and E. Installing sensor devices on outside doors helps prevent wandering. Positioning the mattress on the floor reduces fall risk. Putting locks at the top of doors prevents the client from wandering. Placing the client in a reclining chair does not address the wandering issue. Encouraging physical activity prior to bedtime may increase agitation and worsen wandering.
Question 5 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C. Reporting eating twice in the past week is a critical finding to report because it indicates a significant decrease in nutritional intake, which can lead to serious health complications. This is particularly concerning in the context of mania, as individuals experiencing manic episodes may neglect self-care, including eating regularly. In contrast, choices A, B, and D are all common behaviors associated with mania but do not pose an immediate threat to the client's physical health.
Choice A may indicate a hygiene issue, choice B is a symptom of pressured speech often seen in mania, and choice D reflects disinhibition commonly observed in manic states. However, these behaviors do not directly jeopardize the client's well-being in the same way as severe nutritional deprivation.