ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Provide a quiet environment with minimal stimulation. In the manic phase of bipolar disorder, individuals may experience heightened energy levels, irritability, and decreased need for sleep. Providing a quiet environment with minimal stimulation can help reduce agitation and hyperactivity. This intervention promotes a calming atmosphere, which can aid in managing the client's symptoms and preventing potential escalation of manic behavior. Encouraging detailed planning activities (
Choice
A) may exacerbate the client's racing thoughts and impulsivity. Instructing the client to write about their feelings (
Choice
C) may not be effective in managing the intense energy associated with mania. Offering complex tasks to complete (
Choice
D) can overwhelm the client and may increase stress levels.
Question 2 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Bradycardia. In anorexia nervosa, the body is in a state of malnourishment, leading to a decrease in metabolic rate and energy expenditure. This can result in bradycardia, as the body tries to conserve energy. Hypertension is unlikely as the body is in a depleted state, not having excess resources. Hyperactivity is not commonly seen in anorexia nervosa due to the lack of energy from inadequate food intake. Increased appetite is also not expected as individuals with anorexia nervosa typically have a reduced appetite.
Question 3 of 5
A nurse is caring for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Seizures. During alcohol withdrawal, the client may experience seizures due to changes in neurotransmitter levels in the brain, specifically decreased GABA and increased glutamate activity. This can lead to overexcitation of the central nervous system, resulting in seizures. Bradycardia (
A) and hypotension (
B) are not typically associated with alcohol withdrawal and may indicate other conditions. Increased appetite (
D) is unlikely as alcohol withdrawal commonly causes loss of appetite.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Feelings of worthlessness. In major depressive disorder, individuals often experience persistent feelings of worthlessness, guilt, or self-blame. This is a key symptom of depression as outlined in the DSM-5 criteria. Increased energy levels (
A) and improved concentration (
C) are not typical findings in major depressive disorder, as individuals commonly report fatigue and difficulty concentrating. Elevated mood (
D) is more characteristic of manic episodes in bipolar disorder rather than major depressive disorder.
Question 5 of 5
A nurse is caring for a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive worrying. Generalized anxiety disorder is characterized by excessive and uncontrollable worry about various aspects of life. This symptom is a key feature of the disorder and is present most of the time. This constant worrying can cause significant distress and interfere with daily functioning. The other choices are incorrect because individuals with generalized anxiety disorder typically experience poor sleep quality (
A), difficulty concentrating (
C), and feelings of tension or nervousness rather than euphoria (
D). It is important for the nurse to recognize the hallmark symptom of excessive worrying to provide appropriate care and support for the client with generalized anxiety disorder.