ATI Mental Health Practice B 2023

Questions 202

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ATI RN Mental Health Asn Questions

Extract:


Question 1 of 5

A nurse is caring for a client who was admitted with delirium tremens five days ago. The client seeks permission from the nurse before performing activities of daily living. This behavior indicates which of the following findings?

Correct Answer: D

Rationale: Clients recovering from delirium tremens may develop dependency due to confusion and fear of worsening symptoms.

Question 2 of 5

A nurse is providing teaching to a client who has alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?

Correct Answer: C

Rationale: AA is based on the principle of acknowledging powerlessness over addiction and seeking support.

Question 3 of 5

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: A, B, D, E

Rationale:
Correct Answer: A, B, D, E


Rationale:
A: Providing small meals frequently helps prevent overwhelming the client and supports gradual weight gain.
B: Daily weight monitoring is essential to track the client's progress and assess the effectiveness of the treatment plan.
D: Staying with the client during and after meals helps ensure compliance with the meal plan and prevents purging behaviors.
E: Offering specific privileges for sustained weight gain can serve as positive reinforcement and motivation for the client.

Summary:
C: Allowing the client to choose meals may not always be appropriate as it can lead to food restriction and reinforce maladaptive behaviors.
F, G: Other options not provided in the answer key are not directly related to the management of anorexia nervosa in this context.

Question 4 of 5

A nurse is reviewing medication records for several psychiatric clients who have bipolar disorder. Which of the following medications is commonly used to treat bipolar disorder?

Correct Answer: B

Rationale: The correct answer is B: Lithium. Lithium is a mood stabilizer commonly used to treat bipolar disorder by helping to reduce the frequency and severity of manic episodes. It works by affecting the balance of certain chemicals in the brain. Paroxetine (
A) is an antidepressant used for depression and anxiety disorders, not bipolar disorder. Donepezil (
C) is used to treat Alzheimer's disease, not bipolar disorder. Valproate (
D) and Carbamazepine (E) are also mood stabilizers frequently used to treat bipolar disorder, but Lithium is considered the first-line treatment.

Question 5 of 5

A nurse is caring for a client who has a depressive disorder. The client states, "I just can't feel any happiness or joy in life." Which of the following terms should the nurse use when documenting this finding?

Correct Answer: A

Rationale: The correct answer is A: Anhedonia. Anhedonia refers to the inability to experience pleasure or joy, which is a common symptom of depressive disorders. In this scenario, the client explicitly mentions the inability to feel happiness or joy, aligning with the definition of anhedonia.
B: Anergia refers to lack of energy or physical weakness, which is not directly related to the client's statement.
C: Anosognosia is a lack of awareness or insight into one's own condition, which is not the same as the client's statement about the inability to feel happiness or joy.
D: Akathisia is a movement disorder characterized by restlessness and the inability to sit still, which is not relevant to the client's statement.

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