ATI Mental Health PM 2023

Extract:

Question 1 of 5

A nurse is caring for a client who was admitted to the facility in critical condition following a cerebrovascular accident. The client's son says to the nurse

A. I wish I could stay, but I need to go home to see how my children are doing. I really hate to leave. Which of the following responses should the nurse make? B. There's nothing you can do here. You should go home to your children. C. You are feeling drawn in two separate directions. D. Perhaps you could call your children to see how they are doing. E. Don't worry.

Correct Answer: B

Rationale: Acknowledging the son’s conflicting emotions with 'You are feeling drawn in two separate directions' validates his feelings, promotes reflection, and supports decision-making empathetically.

Question 2 of 5

A nurse in an acute mental health facility is caring for a client who has major depressive disorder.Since her admission 3 days ago, she has not put on clean clothes, washed her hair, or participated in any of the unit activities. On this day, the nurse observes that she is wearing clean clothes and has combed her hair. Which of the following responses should the nurse make?

A. "Why did you wear clean clothes and comb your hair today?" B. "Your mood must be lifting because you have on clean clothes and have combed your hair." C. "I see that you have on clean clothes and have combed your hair." D. "Oh, I'm so pleased that you finally put on clean clothes."

Correct Answer: C

Rationale: Observing 'I see that you have on clean clothes and have combed your hair' is non-judgmental, invites conversation, and validates effort without assuming mood or intent.

Question 3 of 5

A nurse is reviewing the medical histories of four clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy?

A. A client who has schizophrenia and is taking antipsychotic medication. B. An older adult client who has pancreatitis and is taking enzymes. C. An adult client who has type 2 diabetes mellitus and is taking insulin. D. A client who is in the third trimester of pregnancy and taking iron supplements.

Correct Answer: A

Rationale: Antipsychotics, used for schizophrenia, block dopamine, leading to extrapyramidal symptoms like akathisia or dystonia, unlike enzymes, insulin, or iron supplements.

Question 4 of 5

A school registered nurse is speaking to the father of a 15-year-old male adolescent. The father has concerns about his son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?

A. He spends much of his time with his best school friends. B. He is very religious and attends church services every week. C. He has slept 8 hours each night for the past 3 years. D. His favorite teen actor committed suicide a week ago.

Correct Answer: D

Rationale: The recent suicide of a favorite actor increases suicide risk via social contagion, especially in vulnerable adolescents, necessitating immediate assessment.

Question 5 of 5

A nurse asks a client who is suicidal to make a safety contract

A. but the client declines. Which of the following actions should the nurse identify as the priority? B. Lock the doors to the unit and secure windows so they cannot be opened. C. Remove any objects from the client's environment that could be used for self-harm. D. Assign a staff member to stay with the client at all times. E. Provide the client with plastic eating utensils for meals.

Correct Answer: C

Rationale: Assigning a staff member for constant supervision prioritizes safety, monitors behavior, and provides support, addressing the immediate risk of self-harm effectively.

ATI Mental Health PM 2023 | Nurselytic

Nurselytic

ATI LPN

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