ATI RN
ATI nsg 133 Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Dental decay. Bulimia nervosa, characterized by frequent self-induced vomiting, exposes the teeth to stomach acid, leading to erosion of tooth enamel and dental decay. Amenorrhea (choice
A) is typically seen in anorexia nervosa. Hyperkalemia (choice
B) is not directly associated with bulimia nervosa.
Choice D is incorrect as individuals with bulimia may have a normal or higher body weight due to binge eating episodes followed by purging.
Question 2 of 5
The nurse is preparing to discharge a client home from a mental health institution. The nurse should recognize that in order for a mental health client to receive home-bound health care, which of the following criteria must be met?
Correct Answer: D
Rationale: The correct answer is D: A patient who is unable to leave home without assistance. This criterion is essential for qualifying for home-bound health care services as it indicates the patient's inability to access necessary medical care outside the home without assistance. This requirement ensures that the patient receives the proper support and care at home, which is crucial for their well-being.
A: A patient who does not have a support system at home - This is not a requirement for receiving home-bound health care. The focus is on the patient's physical limitation in leaving home without assistance.
B: A patient who is refusing to go to group therapy - Refusal to attend group therapy does not necessarily determine the need for home-bound health care.
C: A patient with major depressive disorder and stopped taking his medication - While medication adherence is important, it is not the specific criterion for home-bound health care eligibility.
Question 3 of 5
A student nurse is providing care to a client diagnosed with Alzheimer's disease. Which of the following should be the appropriate action by the student nurse when caring for this client?
Correct Answer: C
Rationale: The correct answer is C: Provide guidance for tasks one step at a time. For clients with Alzheimer's disease, providing guidance for tasks one step at a time is crucial due to their cognitive impairment. Breaking tasks into simple steps helps the client focus and complete activities successfully. This approach reduces confusion and frustration.
A: Rotating caregivers may increase confusion and disrupt the client's routine.
B: Limiting time may increase agitation and frustration.
D: Providing an activity schedule that changes daily may confuse the client and lead to increased disorientation.
Question 4 of 5
A nurse is caring for an adolescent who is experiencing depression. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: The correct findings when caring for a depressed adolescent include chronic pain due to physical manifestations of depression, low self-esteem as self-worth is often affected, irritability due to emotional distress, and insomnia which is a common symptom. Chronic pain can result from the mind-body connection in depression. Low self-esteem is common in depressive disorders. Irritability is a common emotional response in depression due to frustration and hopelessness. Insomnia can be caused by disrupted sleep patterns in depression. Euphoria is not expected as it is more indicative of mania or hypomania in mood disorders.
Question 5 of 5
The Nurse Educator is leading a support group for survivors of rape at the local community hospital, which of the following information is evidence-based and should be included in the teaching session?
Correct Answer: D
Rationale: The correct answer is D: Discussing the importance of seeking medical attention promptly after a sexual assault. This is evidence-based because seeking medical attention after a sexual assault is crucial for physical and emotional well-being. It allows for timely treatment of injuries, collection of forensic evidence, and access to preventive medication for sexually transmitted infections and pregnancy. Delaying medical attention can impact both physical health and the ability to pursue legal action if desired.
Choices A, B, and C are incorrect because they promote harmful behaviors that can exacerbate trauma and prevent survivors from getting the help they need. Advising survivors to keep the assault a secret, avoid reporting to law enforcement, and blaming themselves are all counterproductive and can perpetuate feelings of shame, guilt, and isolation.