ATI Mental Health PM 2023

Extract:

Question 1 of 5

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A. I check any room I enter because the enemy is still after me and could be hiding anywhere.B. I killed four enemy soldiers with my bare hands and saved my entire battalion.C. In my dreams, all I can see are the wounded reaching out and trying to grab me.D. My child was born with a birth defect due to an exposure I had overseas.

Correct Answer: C

Rationale: Recurring nightmares about trauma, like seeing the wounded in dreams, are a hallmark PTSD symptom, reflecting re-experiencing of the event.

Question 2 of 5

A nurse is planning care for a client who has dementia and exhibits wandering behavior. Which of the following interventions should the nurse include?

A. Restrain the client to prevent wandering.B. Place the client in a room near the nurse’s station.C. Encourage the client to participate in group activities.D. Install an alarm system on doors.

Correct Answer: B,D

Rationale: A room near the nurse’s station allows monitoring, and door alarms enhance safety without restraints, supporting dementia care principles.

Question 3 of 5

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

A. Planning to give his Xbox console to his best friend.B. Stating that he wants to be with his peers more than with his parents.C. Telling his parents that he doesn't want to talk about the suicide attempt.D. Preferring to eat his meals while watching TV.

Correct Answer: C

Rationale: Refusing to discuss the attempt may indicate unresolved distress or isolation, suggesting ongoing suicidal intent that requires further exploration.

Question 4 of 5

A nurse is teaching a client who has schizophrenia about risperidone. Which of the following statements should the nurse include?

A. This medication may cause weight gain.B. You’ll need to stop this medication if you feel restless.C. It will cure your schizophrenia completely.D. Take it only when you hear voices.

Correct Answer: A

Rationale: Risperidone commonly causes weight gain, a key side effect to monitor, unlike curing schizophrenia or taking it PRN.

Question 5 of 5

A nurse is assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?

A. BradycardiaB. Hyperactive bowel soundsC. Dental erosionD. Hypertension.

Correct Answer: A

Rationale: Bradycardia, a slow heart rate, is expected in anorexia nervosa as the body conserves energy due to malnutrition, unlike hyperactive bowels or hypertension.