ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Discussing the importance of confidentiality is important but should not be the first action. Addressing immediate emotional needs and coping strategies takes precedence. Identifying prior coping skills helps establish a foundation for managing the current crisis. It allows the nurse to build on existing strengths and provide support tailored to the adolescents' individual needs. Reviewing community resources is valuable but should come after addressing immediate emotional needs and identifying coping skills. Initiating referrals may be necessary, but it should follow the identification of coping skills and immediate emotional support.
Question 2 of 5
A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse has a duty to warn when a client expresses a clear intent to harm another person, overriding confidentiality in this situation to ensure safety. Reporting to local authorities is appropriate to prevent potential harm. Avoiding reporting due to confidentiality is incorrect, as the duty to protect others supersedes confidentiality when there is a credible threat. Telling risk management is a step but does not directly address the immediate need to protect the partner. Notifying the provider to extend the stay may help with treatment but does not immediately address the safety risk to the partner upon discharge.
Question 3 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because using coping mechanisms that have been effective in the past is a positive self-care behavior for managing major depressive disorder. This indicates the client's willingness to engage in strategies that have worked before, promoting coping and resilience.
Choice B is incorrect as relying solely on someone else for daily planning may lead to dependency and lack of autonomy.
Choice C is incorrect as staying in bed when feeling exhausted can perpetuate feelings of isolation and worsen depressive symptoms.
Choice D is incorrect as avoiding discussing upsetting events can hinder emotional processing and lead to increased distress.
Question 4 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Encourage physical activity for the client during the day. Physical activity has been proven to improve mood and reduce symptoms of depression by increasing endorphins and reducing stress hormones. Exercise can also help regulate sleep patterns, improve self-esteem, and provide a sense of accomplishment. It is an evidence-based intervention for major depressive disorder.
Other choices are incorrect:
B: While alternative group activities can be beneficial, physical activity specifically has a direct impact on improving depression symptoms.
C: Discouraging the client from expressing feelings of anger is not therapeutic and may further suppress emotions, worsening the depressive symptoms.
D: Keeping a bright light on at night may disrupt the client's sleep patterns and is not a standard intervention for major depressive disorder.
Question 5 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: B
Rationale: The correct answer is B because informing the social worker that the client will be unable to return home after discharge is crucial for coordinating appropriate post-discharge care and support services. The social worker can help assess the client's living situation, connect them with community resources, and facilitate a safe and suitable discharge plan. This information is pertinent for the social worker to address the client's social needs.
Choices A, C, and D are incorrect because while they are important aspects of the client's care, they are more relevant to the nurse's role in addressing the client's immediate physical and emotional needs rather than the social worker's role in coordinating post-discharge care and support services.