ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports bilateral knee pain after hiking this past weekend in the mountains on rough ground. He says he is concerned because his cousin died from bone cancer recently. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The nurse should provide reassurance while ensuring proper medical evaluation.
Question 2 of 5
A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Sending the older adult client to a rehabilitation facility post-cerebrovascular accident is crucial for optimizing recovery. Early rehabilitation can help improve mobility, function, and quality of life. By stating they have started plans for this, the nurse reassures the partner that appropriate steps are being taken for the client's continued care.
Incorrect
Choices:
B: Dismissing the partner's concerns and focusing solely on the present does not address the partner's need for information and support regarding the client's future care.
C: Making a blanket statement about progress without specific information or reassurance can lead to false hope or confusion for the partner.
D: Redirecting the partner to the provider without offering any information or support can leave the partner feeling overwhelmed and unsupported in navigating the client's care.
Question 3 of 5
A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale:
Correct Answer: B - Constipation
Rationale:
1. Anorexia nervosa often leads to reduced food intake and inadequate nutrition, causing decreased bowel movements and constipation.
2. Constipation is a common gastrointestinal symptom in individuals with anorexia nervosa due to low fiber intake and dehydration.
3. Tachycardia (
A) is more commonly associated with starvation and electrolyte imbalances in anorexia nervosa.
4. Menorrhagia (
C) refers to heavy menstrual bleeding and is not a typical finding in anorexia nervosa.
5. Hyperkalemia (
D) is unlikely in anorexia nervosa as it is more commonly associated with kidney disease or excessive potassium intake.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: Command hallucinations pose the highest risk as they may direct the client to harm themselves or others.
Question 5 of 5
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE), the nurse should include which of the following data? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale:
Correct Answer: A, C, D, E
Rationale:
1. Ability to perform calculations: Assessing calculation skills can indicate cognitive functioning.
2. Recall ability: Testing recall assesses memory function, important in dementia evaluation.
3. Long-term memory: Evaluating long-term memory helps identify any significant memory deficits.
4. Level of orientation: Orientation to time, place, and person is crucial in assessing cognitive status.
Incorrect
Choices:
- Coping skills: While important, coping skills are not typically assessed in an MSE for dementia.
- (
Choices F and G are not provided in the question, so they are not applicable for evaluation in this context.)