ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)
Correct Answer: A
Rationale: The correct answer is A: Monitor for suicidal ideation. This is the priority intervention because individuals with depression are at increased risk for suicide. Monitoring for suicidal ideation allows for early detection and intervention. Encouraging social isolation (
B) is incorrect as social support is crucial in managing depression. Increasing sedative medication (
C) may lead to dependence and does not address the underlying issues. Teaching relaxation techniques (
D) is helpful but not the priority when dealing with potential suicidal risk.
Question 2 of 5
A nurse is assessing a client with anxiety. Which symptom should the nurse expect? (Hypothetical)
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Anxiety often manifests as restlessness due to increased arousal and nervousness. This can result in fidgeting, pacing, or inability to sit still. Improved concentration (
B) is unlikely as anxiety can impair focus. Increased appetite (
C) is not a common symptom of anxiety, as it can lead to loss of appetite. Lethargy (
D) is more characteristic of depression than anxiety.
Question 3 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "Dizziness is a common adverse effect of the medication and is related to low blood pressure." Quetiapine, an antipsychotic medication, commonly causes dizziness as a side effect due to its potential to lower blood pressure. This response educates the client about a known side effect of the medication and provides a logical explanation for the dizziness.
Rationale for Incorrect
Choices:
A: Incorrect. Taking the medication with a meal may help reduce gastrointestinal side effects but is not directly related to dizziness.
B: Incorrect. Dizziness does not necessarily indicate an allergic response, and stopping the medication abruptly without consulting a healthcare provider can be dangerous.
C: Incorrect. The timing of medication administration does not directly affect the occurrence of dizziness associated with quetiapine.
By providing education on the common adverse effect of quetiapine and its relation to dizziness, the nurse empowers the client with knowledge and promotes safe medication management.
Question 4 of 5
A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply)
Correct Answer: B,D,E
Rationale: The correct answers are B, D, and E.
B: Clients have the right to the least restrictive environment, as per mental health laws and ethical guidelines to promote recovery and autonomy.
D: Clients maintain the right to an attorney, ensuring legal representation and protection of their rights.
E: Clients continue to have the right to privacy and confidentiality, which is crucial for building trust and promoting open communication.
Incorrect options:
A: Clients can refuse medications based on informed consent and have the right to participate in treatment decisions.
C: Clients can withdraw consent at any time, as long as they have decision-making capacity and understand the implications.
In summary, the correct answers emphasize client autonomy, legal representation, and confidentiality, while the incorrect options contradict fundamental client rights.
Question 5 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because it's too noisy.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Keep conversations and activities to a minimum during the nighttime. This is the best action to address the client's concern of noise disrupting their sleep. By minimizing conversations and activities during nighttime, the nurse creates a quieter environment that can help the client sleep better. This approach respects the client's need for rest and promotes a therapeutic environment.
A: Incorrect. Telling the client they will get used to the noise minimizes their feelings and does not directly address the issue.
B: Incorrect. Recommending the client to sleep during the day does not address the client's need to sleep at night.
D: Incorrect. Turning on the client's television may not necessarily address the environmental noise issue and may not be conducive to a restful sleep.