ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: C
Rationale: Talk to the client and identify the specific limits that are required of the client's behavior. This is the correct option. Talking to the client directly allows the nurse to address the behavior, express expectations, and set clear boundaries. This approach promotes open communication and gives the client a chance to understand how their actions are affecting others.
Question 2 of 5
A nurse is preparing to administer benztropine 2 mg IM every 12 hr to a client who is experiencing an extrapyramidal reaction. Available is benztropine 1 mg/mL for injection. How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
To calculate the volume (mL): Volume = Dose (mg) / Concentration (mg/mL). Dose = 2 mg, Concentration = 1 mg/mL. Volume = 2 mg / 1 mg/mL = 2 mL.
Question 3 of 5
A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following nursing responses should the nurse manager make?
Correct Answer: C
Rationale: Respecting a patient's preferences and comfort is an important aspect of patient-centered care.
Question 4 of 5
A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, 'I am really concerned about my husband.' Which of the following is a therapeutic nursing response?
Correct Answer: A
Rationale: This response is the most therapeutic option. It invites the spouse to share their concerns and feelings, showing empathy and active listening. It opens the door for effective communication and understanding the spouse's perspective.
Question 5 of 5
A nurse is assessing a client who has depression. Which of the following findings are risk factors of depression? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: A: Low self-esteem is a risk factor for depression because negative self-perception and feelings of worthlessness can contribute to the development of depressive symptoms. B: Irritability is associated with depression, especially in adolescents. It can manifest as a mood symptom and is often seen alongside other depressive features. C: Chronic pain can be both a symptom and a risk factor for depression. Persistent pain can lead to changes in mood, behavior, and physical function, contributing to the development of depressive symptoms. D: Insomnia, or difficulty sleeping, is a common symptom of depression and can also be a risk factor. Sleep disturbances are often seen in individuals with depression, and they can contribute to the severity of the condition.