ATI RN
ATI Mental Health 2023 II Questions
Extract:
Medical History
The client is 18 years old and is being admitted into the inpatient eating disorder clinic. The client has had a history of anorexia nervosa since age 16. BMI has fluctuated from 15 to 19 over the past 3 years.
Client reports restricting caloric intake to 400 cal/day, fasting, and dieting. The client also reports frequent episodes of binge eating, self-induced vomiting, frequent laxative use, and exercising three times per day, every day.
Client states, "I am so fat. No matter what I do, I can't get skinny or lose enough weight." The client's guardian reports that the client is a perfectionist and has obsessive thoughts related to food and diet.
The client has dry, pale skin that appears thin and fragile, with decreased turgor, especially in areas like the forearms or abdomen. The mucous membranes, including the mouth and lips, are dry and cracked. The urine output is reduced, with minimal amount of dark yellow urine.
Vital Signs
Heart rate 44/min
Respiratory rate 20/min
BP 86/50 mm Hg
Temperature 36.2° C (97.2° F)
Question 1 of 5
A nurse is initiating the plan of care for a client who has anorexia nervosa.Exhibits:Complete the following sentence by using the lists of options.The nurse should first address the client’s ___ followed by the client’s ___
Correct Answer: A,B
Rationale: Low BP (86/50 mm Hg) and HR (44/min) from anorexia need urgent stabilization.
Extract:
Question 2 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Acknowledging fear builds trust. Denial or minimization risks distress, 'why' may reinforce delusion.
Question 3 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: D
Rationale: Numbness suggests emotional shutdown, a depression sign. Sadness, anger, and support reliance are normal grief.
Question 4 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: B
Rationale: Exploring abandonment addresses BPD’s core issue, aiding social skills. Dependency reinforces issues, avoiding discussion stalls progress, same staff risks attachment.
Question 5 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: A
Rationale: ECT primarily treats severe depression, with effectiveness shown by improved mood and energy. Panic, seizures (part of ECT), and phobias are not primary targets.