ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client experiencing?
Correct Answer: A
Rationale: The correct answer is A: Situational crisis. In this scenario, the sudden death of the client's wife is an external event disrupting his ability to cope with work and family responsibilities. Situational crises are caused by unexpected events and can overwhelm an individual's coping mechanisms. Maturational crises (choice
B) occur as a result of normal life transitions. Adventitious crises (choice
C) involve natural disasters or traumatic events. Developmental crises (choice
D) are related to specific stages of life. The client's crisis does not align with choices E, F, or G.
Therefore, the client is experiencing a situational crisis due to the sudden loss of his wife.
Question 2 of 5
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: The client’s nutritional status must be assessed first as severe weight loss can lead to life-threatening complications.
Question 3 of 5
A nurse on an acute mental health unit is caring for a client who has major depressive disorder. Which of the following interventions is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: Monitor for risk of self-harm. This is the priority because individuals with major depressive disorder have an increased risk of suicidal ideation and behavior. By monitoring for self-harm, the nurse can ensure the client's safety and intervene promptly if necessary. Administering antidepressants (choice
B) is important but not the priority as it may take time to show therapeutic effects. Encouraging fluid intake (choice
C) and assisting with activities of daily living (choice
D) are important aspects of care but do not address the immediate safety concern of self-harm.
Question 4 of 5
A nurse is caring for an adolescent who has a history of violent behavior and has asked the nurse to keep confidential information about the desire to kill several classmates and a school teacher. Which of the following responses by the nurse is appropriate to give?
Correct Answer: B
Rationale: Duty to warn applies when a client expresses intent to harm others, requiring disclosure to the care team.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator.” Which of the following findings is this client exhibiting?
Correct Answer: B
Rationale: The correct answer is B: Grandiosity. The client's belief that they possess extraordinary abilities and can achieve unrealistic feats, such as flying home and becoming a U.S. Senator, reflects grandiosity, a common symptom of bipolar disorder's manic phase. This symptom is characterized by an inflated sense of self-importance and unrealistic beliefs about one's abilities. Flight of ideas (choice
A) refers to rapid, disorganized thinking, not necessarily related to grandiosity. Impaired reality testing (choice
C) involves difficulty distinguishing between what is real and what is not, which is not the primary feature exhibited by the client in the scenario. Depersonalization (choice
D) involves feeling detached from oneself, which is not evident in the client's statement.