ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia who consistently does the opposite of what the nurse asks of him. The nurse recognizes this as which of the following alterations in behavior?
Correct Answer: C
Rationale: The correct answer is C: Negativism. Negativism is a symptom of schizophrenia where the client consistently does the opposite of what is asked. This behavior is a form of resistance or opposition to external influences. Automatic obedience (
A) is when a person mindlessly follows commands without questioning. Waxy flexibility (
B) is when a person's limbs can be manipulated and posed by another. Impaired impulse control (
D) refers to the inability to resist impulses or urges.
Question 2 of 5
How should a nurse address compulsive behaviors in a newly admitted client with OCD?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Setting strict limits on behaviors is the most appropriate approach to address compulsive behaviors in a client with OCD. By setting clear boundaries and limits, the nurse helps the client understand what is acceptable and what is not, which can help reduce the compulsive behaviors over time. This approach establishes a structured environment that promotes consistency and predictability for the client, which is crucial in managing OCD symptoms. It also helps to prevent the reinforcement of compulsive behaviors that can occur with other approaches like allowing additional time for rituals or isolating the client. Confronting the client may lead to resistance and increased anxiety. Encouraging group activities may not directly address the compulsive behaviors.
Question 3 of 5
A nurse on an acute mental health unit is caring for a client who has major depressive disorder. Which of the following interventions is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: Monitor for risk of self-harm. This is the priority because individuals with major depressive disorder have an increased risk of suicidal ideation and behavior. By monitoring for self-harm, the nurse can ensure the client's safety and intervene promptly if necessary. Administering antidepressants (choice
B) is important but not the priority as it may take time to show therapeutic effects. Encouraging fluid intake (choice
C) and assisting with activities of daily living (choice
D) are important aspects of care but do not address the immediate safety concern of self-harm.
Question 4 of 5
A nurse is caring for a client whose partner is requesting to bring the client food from home that is not allowed in the client's dietary plan. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging inclusion of preferred foods within dietary restrictions promotes cooperation and adherence.
Question 5 of 5
A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding?
Correct Answer: A
Rationale: The correct answer is A. Tremors typically start within 6-12 hours after the last drink, not less than 24 hours. This indicates a correct understanding of alcohol withdrawal.
Choice B is incorrect as Disulfiram does not block cravings but causes unpleasant effects if alcohol is consumed.
Choice C is incorrect as withdrawal symptoms can last up to a week or more.
Choice D is incorrect as vitamin C does not prevent cirrhosis or liver damage from alcohol use.