ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply.)
Correct Answer: A, B, E
Rationale: Anxiety, OCD, and depression frequently co-occur with eating disorders.
Question 2 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: C
Rationale: The correct answer is C: Plan the client's schedule to allow time for rituals. This is the most appropriate action because accommodating the client's compulsive behaviors by incorporating time for rituals into their schedule can help reduce anxiety and maintain a sense of control for the client. Isolating the client (
A) can worsen their symptoms and is not therapeutic. Confronting the client (
B) about the senseless nature of their behaviors may increase their anxiety and resistance to treatment. Setting strict limits on behaviors (
D) can lead to increased distress and potential escalation of symptoms.
Question 3 of 5
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?
Correct Answer: C
Rationale: The correct answer is C: A private room close to the nursing station. This is the best option because it allows for close monitoring and quick access to the client in case of any escalating behaviors. Being close to the nursing station also provides a sense of security and support for the client.
Choice A is incorrect because although a private room is preferred, being in a quiet location on the unit may not allow for immediate monitoring by the nursing staff.
Choice B is incorrect because placing the client with a roommate who has similar symptoms can potentially exacerbate the situation and increase the risk of conflict or escalation.
Choice D is incorrect because seclusion should only be used as a last resort when all other options have been exhausted and when the client poses a danger to themselves or others. It is not appropriate for managing a client in the manic phase of bipolar disorder.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Correct Answer: A, B, C, E
Rationale: The correct answer includes characteristics that are commonly associated with obsessive-compulsive disorder (OC
D).
A: Difficulty relaxing - Individuals with OCD often experience persistent intrusive thoughts or obsessions, leading to heightened anxiety and difficulty relaxing.
B: Irrational fear of certain objects - OCD can manifest as specific fears or obsessions that are irrational and intrusive, causing distress and leading to compulsive behaviors.
C: Rule-conscious behavior - People with OCD tend to adhere rigidly to self-imposed rules or rituals to manage their anxiety and obsessions.
E: Perfectionist behavior - Perfectionism is a common trait in individuals with OCD, as they may feel the need to perform tasks perfectly to alleviate anxiety associated with obsessions.
Incorrect choices:
D: Unaware of compulsions - Individuals with OCD are usually aware of their compulsive behaviors, as these actions are driven by the need to reduce anxiety related to obsessions.
Question 5 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Clients with Alzheimer's benefit from structured routines and step-by-step guidance.