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: How has this impacted your life?' elicits emotional and coping insights, unlike 'Why' (guilt-inducing), 'Are you okay' (insensitive), or hygiene support (practical, not coping-focused).
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 bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Monitoring bathroom trips prevents purging, a key behavior in bulimia, ensuring safety and treatment efficacy. Family food may trigger binges, self-scheduling risks unhealthy patterns, and frequent exercise reinforces compensatory behaviors.
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: Sensors (
B), floor mattress (
C), and high locks (E) enhance safety against wandering and falls. A chair (
A) is impractical, and late activity (
D) may disrupt sleep.
Question 5 of 5
For which of the following adverse effects should a nurse monitor a client taking citalopram?
Correct Answer: B
Rationale: Decreased libido is a known adverse effect of citalopram, an SSRI. SSRIs can affect sexual function due to increased serotonin levels, leading to decreased libido, difficulty achieving orgasm, or erectile dysfunction. Urinary retention is not commonly linked to citalopram; bruising may occur rarely with bleeding risks but isn’t typical; and jaundice, indicating liver issues, is rare and not routine to monitor unless other risk factors are present.