ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing a situational crisis following the sudden loss of their adolescent child. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The first and most critical action for a nurse caring for a client in a situational crisis, especially after the sudden loss of a child, is to determine if the client has thoughts of self-harm. A situational crisis can lead to overwhelming emotions, which may result in suicidal ideation or attempts. Ensuring the client's safety is the top priority, and immediate intervention is required if there is any indication of self-harm thoughts. Teaching coping skills, identifying support, and planning follow-ups are important but secondary to ensuring immediate safety.
Question 2 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 3 of 5
A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
Correct Answer: B
Rationale: If the client demonstrates control over their actions, it suggests they are no longer at immediate risk of harm, allowing consideration for discontinuing restraints. This aligns with guidelines to use restraints only when necessary and remove them as soon as safe. An apology, a request for release, or a contract are positive but insufficient without evidence of sustained behavioral control.
Question 4 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: A lack of sleep is a hallmark of acute mania, where clients feel little need for rest, exacerbating other symptoms. Detailed scheduling, refusal to converse, and isolation align more with depression or other states, not mania’s high energy.
Question 5 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: ECT is primarily used for severe depression, and improvement in depressive symptoms (e.g., mood, energy) is the key effectiveness indicator. Seizure frequency isn’t reduced (ECT induces them), panic attacks and phobias aren’t primary targets.