ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. The nurse should delegate the task of assisting the client to ambulate post-procedure to the assistive personnel. Here's why: 1. Ambulation after ECT is a routine task that does not require specialized nursing knowledge. 2. It promotes client independence and mobility. 3. It allows the nurse to focus on critical tasks like monitoring the client's vital signs and mental status. 4. Atropine administration (choice
A) requires a licensed nurse's assessment and judgment. Witnessing consent (choice
B) ensures the client's autonomy. Checking the client's condition (choice
C) involves assessing for potential complications, which should be done by a qualified nurse.
Question 2 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I'm so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Tell me the reasons you think your mother is depressed." This response demonstrates active listening and therapeutic communication. By asking the daughter to explain her concerns, the nurse can gather valuable information to assess the situation further. It also shows empathy and validates the daughter's perspective, building rapport and trust. This approach allows the nurse to obtain a comprehensive understanding of the client's condition and concerns, facilitating appropriate assessment and intervention.
Choices A, C, and D are incorrect:
A: Older adults are not usually diagnosed with depressive disorder solely based on age. Depression is a complex condition with various contributing factors.
C: Minimizing the daughter's concerns by stating that everyone gets depressed trivializes the situation and does not address the client's specific needs.
D: Assuring the daughter that depressive disorder is easily treated oversimplifies the condition and may create false expectations, potentially hindering effective assessment and treatment.
Question 3 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: C
Rationale: The correct answer is C: Reports a lack of sleep. In acute mania, individuals often experience decreased need for sleep or insomnia. This symptom is a hallmark of manic episodes in bipolar disorder. Lack of sleep can exacerbate manic symptoms and lead to increased impulsivity and risk-taking behaviors. Writing a detailed daily activity schedule (
A) is more indicative of organized behavior, not necessarily mania. Isolating oneself from others (
B) can be a sign of depression or social withdrawal, not mania. Refusing to engage in conversation (
D) may indicate other issues such as anxiety or communication difficulties.
Question 4 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is a form of aversion therapy, which helps the client interrupt the obsessive thought pattern by associating it with a negative physical sensation. By snapping the rubber band on the wrist, the client creates a negative consequence for the behavior, making it less desirable to continue the checking behavior. This helps in breaking the cycle of obsessive thoughts and compulsive behaviors associated with obsessive-compulsive disorder.
A: Asking a family member to check the locks enables avoidance rather than addressing the underlying issue.
B: Keeping a journal may help increase awareness but does not actively interrupt the thought pattern.
C: Focusing on abdominal breathing is a relaxation technique that may help manage anxiety but does not directly address the obsessive behavior.
E, F, G: These options are not provided in the question and are therefore irrelevant.
Question 5 of 5
A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse has a duty to warn when a client expresses a clear intent to harm another person, overriding confidentiality in this situation to ensure safety. Reporting to local authorities is appropriate to prevent potential harm. Avoiding reporting due to confidentiality is incorrect, as the duty to protect others supersedes confidentiality when there is a credible threat. Telling risk management is a step but does not directly address the immediate need to protect the partner. Notifying the provider to extend the stay may help with treatment but does not immediately address the safety risk to the partner upon discharge.