ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Depression in adolescents often presents with irritability, physical complaints (chronic pain), social withdrawal, and appetite changes.
Question 2 of 5
A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)
Correct Answer: A, B, D
Rationale: MSE evaluates cognitive function, including memory, emotional expression (affect), and self-care abilities (grooming).
Question 3 of 5
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: A
Rationale: A close connection to someone who has died by suicide is a known risk factor for adolescent suicide.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: Command hallucinations pose the highest risk as they may direct the client to harm themselves or others.
Question 5 of 5
A nurse is caring for a client who is receiving treatment for alcohol withdrawal. Which of the following findings is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: Visual hallucinations. Visual hallucinations in a client undergoing alcohol withdrawal indicate severe withdrawal symptoms and pose a risk for harm to self or others. Addressing visual hallucinations promptly is crucial to prevent potential injuries or dangerous behaviors. Vitamin deficiency (
A), diaphoresis (
B), and tremors (
C) are common manifestations of alcohol withdrawal but do not pose an immediate threat compared to visual hallucinations.
Therefore, visual hallucinations take precedence in prioritizing care for this client.