ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hand tremors are a common early symptom of alcohol withdrawal.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and is running around the unit asking people to dance with her. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Walk the client outside and sit with her in the garden area. This intervention allows the client to engage in physical activity in a safe space, promoting relaxation and redirection of excess energy. It also provides a change of environment and sensory stimulation, which can help regulate mood in bipolar disorder. Turning on a dance video (
A) may not address the client's need for social interaction and may not be as effective in reducing manic behavior. Offering a low-calorie snack (
B) may not address the underlying issue of manic behavior and could reinforce the behavior in exchange for a reward. Observing for aggressive behavior (
D) is important but does not actively address the current manic behavior.
Question 3 of 5
A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?
Correct Answer: A
Rationale: Clients with severe depression may have difficulty processing large amounts of information, so simple, direct communication is best.
Question 4 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 5 of 5
A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?
Correct Answer: D
Rationale: Encouraging the spouse to verbalize concerns supports therapeutic communication.