ATI RN
ATI n222 Mental Health Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse,Nothing good ever came from my marriage. To best support cognitive reframing,which of the following responses should the nurse offer?
Correct Answer: B
Rationale:
Correct
Answer: B: What did you learn from your marriage to help you in the future?
Rationale: This response aligns with cognitive reframing by shifting the client's focus from solely negative aspects of the marriage to potential positive learnings. By prompting the client to reflect on lessons gained, the nurse encourages a more balanced perspective, fostering growth and resilience.
Incorrect
Choices:
A: This response focuses on the negative aspects, reinforcing the client's current negative belief without promoting reframing.
C: Asking about previous relationships is not relevant to reframing the client's negative perception of their marriage.
D: This response does not actively engage the client in reframing their thoughts but rather implies a passive acceptance of the negative impact.
E, F, G: No further options provided.
Question 2 of 5
A nurse in an acute mental health facility is leading a nursing education session about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: An involuntary admission is justified if the client is a danger to themselves or others. This is a key legal aspect of involuntary admissions in mental health facilities. The rationale behind this is that involuntary admission laws are designed to protect individuals who are at risk of harming themselves or others due to their mental health condition. This criterion is commonly used to determine whether an individual meets the criteria for involuntary admission.
Choice A is incorrect because while clients who are involuntarily admitted may be prescribed medications, it is not a legal requirement for them to take them.
Choice C is incorrect as the duration of an involuntary admission can vary based on the individual's condition and legal regulations, it is not limited to two weeks.
Choice D is incorrect as clients who are involuntarily admitted generally cannot leave the facility against medical advice due to safety concerns.
Question 3 of 5
A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?
Correct Answer: C
Rationale: The correct answer is C because ambulating the client's roommate while the client is on suicide precautions is inappropriate. Suicide precautions require close monitoring and supervision of the at-risk individual, so diverting attention to another client can compromise safety.
A: Remaining with the client while family members visit is appropriate as it ensures continuous support and monitoring.
B: Asking for a replacement during lunchtime indicates awareness of personal limitations and the need to ensure continuous care.
D: Accompanying the client to therapy shows attention to the client's overall well-being and participation in necessary activities.
In summary, choice C is incorrect because it deviates from the focus on the client needing suicide precautions, while the other options align with proper nursing care principles.
Question 4 of 5
A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?
Correct Answer: C
Rationale: The correct answer is C: Profuse diaphoresis and severe, pounding headache. Autonomic dysreflexia is a life-threatening condition that occurs in clients with spinal cord injuries above T6. In this case, the C-5 spinal cord injury is above T6, making the client at risk for autonomic dysreflexia. The condition is caused by a stimulus below the level of the injury, such as a full bladder, leading to a sympathetic response. Profuse diaphoresis and severe, pounding headache are classic signs of autonomic dysreflexia due to the sympathetic response causing vasoconstriction below the level of the injury. Hypotension and venous pooling (
Choice
A) are not typical in autonomic dysreflexia. Pain and burning upon urination and hematuria (
Choice
B) are more indicative of a urinary tract infection. Reports of chest pain and shortness of breath (
Choice
D) are not typically associated with autonomic dys
Question 5 of 5
A nurse is preparing to administer 1500 mL of IV fluid to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/h?
Correct Answer: 750
Rationale:
To calculate the IV pump rate in mL/h, we divide the total volume to be infused by the total time in hours. In this case, 1500mL ÷ 2 hours = 750 mL/h. This ensures a consistent and accurate infusion rate over the specified time period.
Choice A: Incorrect as it does not account for the total volume and time.
Choice B: Incorrect as it does not calculate the rate correctly.
Choice C: Incorrect as it does not provide a calculation for the infusion rate.
Choice D: Incorrect as it lacks the necessary calculation.
Choice E: Incorrect as it does not address the infusion rate calculation.
Choice F: Incorrect as it does not offer a solution.
Choice G: Incorrect as it does not provide the correct calculation for the IV pump rate.