ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Identify precipitating factors for ritualistic behaviors. This is the first step because understanding the triggers for the client's OCD behaviors can help the nurse develop a targeted care plan. By identifying what causes the rituals, the nurse can work on strategies to address these triggers and help the client manage their symptoms effectively. Discussing coping strategies (
A) or relaxation techniques (
C) without understanding the triggers may not be as effective. Providing a structured activity schedule (
D) may be helpful, but it is not the priority at this stage.
Question 2 of 5
A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?
Correct Answer: C
Rationale: Identifying warning signs in client behavior helps prevent future suicides and improves staff awareness.
Question 3 of 5
A nurse is assessing a child who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: A, B, C
Rationale: Delayed language skills, repetitive behaviors, and a need for routines are common in autism spectrum disorder.
Question 4 of 5
A nurse is caring for a group of clients. The nurse should recognize that which of the following clients is at risk for a vitamin B deficiency?
Correct Answer: C
Rationale: Chronic alcohol use disorder depletes vitamin B stores, particularly thiamine, leading to neurological complications.
Question 5 of 5
A nurse is speaking with a client experiencing anxiety. Which of the following responses is most therapeutic?
Correct Answer: B
Rationale: The correct answer is B, "Come with me to an area where we can talk without interruption." This response is most therapeutic because it acknowledges the client's need for privacy and establishes a safe and confidential space for the client to express their feelings. By offering to talk without interruption, the nurse demonstrates active listening and empathy, which can help the client feel supported and understood.
Choice A is incorrect because assuming that all clients benefit from lying down may not be appropriate or therapeutic for everyone experiencing anxiety.
Choice C is incorrect because suggesting relaxation exercises may not address the immediate needs of the client in distress.
Choice D is incorrect because immediately jumping to medication may not be the most therapeutic approach without first exploring other coping strategies or interventions.