ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism. Thyroid function tests can help diagnose this condition. Pancreatitis (
A), cholecystitis (
B), and tuberculosis (
C) are not typically associated with major depressive episodes. The nurse should focus on ruling out medical conditions that are more likely to cause mood disturbances.
Therefore, hypothyroidism is the most appropriate condition to investigate in this scenario.
Question 2 of 5
A nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
Correct Answer: B
Rationale: The correct answer is B. This statement implies a biased perspective favoring the partner, potentially invalidating the client's feelings. It is essential for a nurse to remain neutral and empathetic when assisting clients with their concerns, rather than suggesting one viewpoint over another. This could lead to the client feeling unheard or misunderstood. Other options (A, C,
D) demonstrate appropriate therapeutic communication techniques by encouraging the client to express feelings, working collaboratively on a plan, and acknowledging the challenges in relationships.
Question 3 of 5
A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, “I don't know why my wife left me.” The client receives a diagnosis of anxiety. The nurse realizes the client’s findings support which level of anxiety?
Correct Answer: D
Rationale: The correct answer is D: Panic. The client's symptoms of chest pain, headache, shortness of breath, and emotional distress over his wife leaving him indicate severe anxiety leading to panic. Panic level of anxiety is characterized by overwhelming fear and physical symptoms, which can mimic serious medical conditions. The client's inability to cope and focus on his wife leaving him despite physical symptoms supports the panic level of anxiety.
Choice A (Mild) is incorrect because the client's symptoms are more severe.
Choice B (Moderate) is incorrect as the symptoms are more intense than what would be expected in moderate anxiety.
Choice C (Severe) is incorrect because the client's symptoms and emotional distress are beyond what is typically seen in severe anxiety, aligning more with panic level symptoms.
Question 4 of 5
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: C
Rationale: The correct answer is C, supporting the client's wish to refuse prescribed medications, demonstrates the ethical concept of autonomy. Autonomy refers to the client's right to make their own decisions about their care. By supporting the client's wish to refuse medications, the nurse is respecting the client's autonomy and right to make choices about their treatment.
A: Encouraging client feedback about satisfaction with the facility experience relates to client satisfaction but not necessarily autonomy.
B: Explaining unit rules and policies regarding unacceptable behaviors is important for maintaining a safe environment but not directly related to autonomy.
D: Making sure the client understands expectations for participation is important for informed decision-making but not as directly related to autonomy as choice C.
Question 5 of 5
A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Echolalia, or repeating words/phrases, is a common communication pattern in autism spectrum disorder.