ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Anorexia nervosa is often associated with amenorrhea, distorted body image, excessive activity, and bradycardia due to malnutrition.
Question 2 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: D
Rationale: The correct answer is D: "I can review the assignments and arrange for a female nurse to care for you." This response respects the client's preference for a female caregiver, prioritizing her comfort and sense of safety. It acknowledges and addresses the client's concerns promptly and professionally.
Option A is incorrect because it only offers a female assistive personnel for personal hygiene care, not the nurse, which may not fully address the client's request. Option B is incorrect as it focuses on the nurse's capability rather than the client's comfort. Option C is incorrect as it dismisses the client's preference by comparing it to the doctor's gender. The correct response should prioritize the client's emotional well-being and autonomy.
Question 3 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: D
Rationale: Encouraging the spouse to verbalize concerns supports therapeutic communication.
Question 4 of 5
A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Administer diazepam. This is the first action the nurse should take because delirium tremens is a severe form of alcohol withdrawal that can lead to life-threatening complications such as seizures and hallucinations. Diazepam is a benzodiazepine medication that helps to control the symptoms of alcohol withdrawal by calming the central nervous system. Administering diazepam promptly can prevent the client from experiencing severe symptoms and reduce the risk of complications.
Raising the side rails of the bed (
B) may be important for safety but is not the first priority in managing delirium tremens. Obtaining a medical history (
C) is important for overall assessment but is not the immediate action needed in this critical situation. Starting intravenous fluids (
D) may be necessary to maintain hydration but does not address the urgent need to manage the symptoms of delirium tremens.
Question 5 of 5
A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "Let's work together to devise a time schedule that is convenient for you on a daily basis." This answer is correct because it promotes patient-centered care by involving the client in decision-making and ensuring adherence to medication schedules. By collaborating with the client to find a convenient schedule, the nurse increases the likelihood of medication compliance.
Incorrect choices:
A: "You really shouldn't change the schedule we established here in the facility." - This is incorrect as it disregards the client's individual needs and preferences.
C: "I'll have to talk to your provider about switching to an alternative schedule." - This is incorrect as it does not involve the client in decision-making and may cause delays in finding a suitable schedule.
D: "It doesn't really matter what time you take your medications as long as you don't skip any doses." - This is incorrect as specific medication intervals are crucial for therapeutic effectiveness.