ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse’s priority?
Correct Answer: D
Rationale:
Rationale: The nurse's priority is D: The client states that he is unable to eat more than once a day. This is the priority because it indicates a potential physical health concern like malnutrition, which can have immediate negative effects on the client's well-being. The other choices, while important, revolve around emotional responses to grief and loss, which are also significant but do not pose an immediate threat to the client's physical health.
Therefore, addressing the client's inability to eat adequately is crucial to prevent further health complications.
Question 2 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: D
Rationale: The correct answer is D: Report the information to local authorities. This action is necessary to ensure the safety of the client's partner and prevent any harm. As a nurse, it is crucial to prioritize the well-being of all individuals involved and take necessary steps to protect them from harm. Reporting to local authorities allows for immediate intervention and protection for the potential victim.
Other choices are incorrect because:
A: Keeping the client longer at the facility may not address the immediate risk to the partner.
B: Confidentiality is important, but the duty to protect potential victims outweighs it in this situation.
C: While telling risk management is a good practice, the urgency of the situation requires immediate action by reporting to authorities.
E, F, G: These choices are not provided, but they would likely be incorrect as they do not address the immediate safety concern.
Question 3 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: D
Rationale: The correct answer is D because feeling numbness can be a sign of clinical depression, known as emotional blunting. This lack of emotional response is a common symptom of depression and can indicate a serious mental health concern. Clients experiencing numbness may have difficulty feeling joy or even sadness, leading to a sense of detachment from their emotions. Reporting this to the provider is crucial for further assessment and appropriate intervention.
Choice A reflects a normal grief response, as it is common to feel that happiness may take time to return.
Choice B reflects anger, which can also be a part of the grieving process.
Choice C indicates reliance on family support, which is a healthy coping mechanism.
Question 4 of 5
A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?
Correct Answer: D
Rationale: The correct answer is D: Implement seizure precautions. This is important because individuals with alcohol use disorder are at risk for alcohol withdrawal seizures, which can occur when alcohol intake is abruptly stopped. Implementing seizure precautions involves closely monitoring the client for signs of seizure activity, ensuring a safe environment to prevent injury during a seizure, and having appropriate medications and equipment readily available if a seizure occurs. Administering methadone hydrochloride (
A) is not indicated for alcohol use disorder. Acidifying the client's urine (
B) and monitoring for orthostatic hypotension (
C) are not directly related to managing alcohol withdrawal seizures.
Question 5 of 5
A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,C,E
Rationale: The correct findings for a client with post-traumatic stress disorder (PTS
D) are A, C, and E. A is correct because clients with PTSD often experience difficulty with sleep due to nightmares or hypervigilance. C is correct as they may have negative beliefs about themselves stemming from the trauma. E is accurate because difficulty concentrating is a common symptom of PTSD. B is incorrect as excessive talking is not a typical symptom. D is incorrect as individuals with PTSD often blame themselves rather than others.