ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: D
Rationale: Giving away personal possessions is a warning sign of suicidal intent.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client’s emotions helps encourage further discussion.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Psychomotor agitation. In major depressive disorder, psychomotor agitation is a common symptom characterized by restlessness, pacing, handwringing, or tapping. This is due to internal feelings of distress and anxiety. Dismissal of past failures (
A) is not a typical finding, as individuals with major depressive disorder often ruminate on past failures. An increase in energy (
C) is unlikely, as fatigue and low energy levels are common in depression.
Choices D, E, F, and G are not applicable.
Question 4 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism. Thyroid function tests can help diagnose this condition. Pancreatitis (
A), cholecystitis (
B), and tuberculosis (
C) are not typically associated with major depressive episodes. The nurse should focus on ruling out medical conditions that are more likely to cause mood disturbances.
Therefore, hypothyroidism is the most appropriate condition to investigate in this scenario.
Question 5 of 5
A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Sending the older adult client to a rehabilitation facility post-cerebrovascular accident is crucial for optimizing recovery. Early rehabilitation can help improve mobility, function, and quality of life. By stating they have started plans for this, the nurse reassures the partner that appropriate steps are being taken for the client's continued care.
Incorrect
Choices:
B: Dismissing the partner's concerns and focusing solely on the present does not address the partner's need for information and support regarding the client's future care.
C: Making a blanket statement about progress without specific information or reassurance can lead to false hope or confusion for the partner.
D: Redirecting the partner to the provider without offering any information or support can leave the partner feeling overwhelmed and unsupported in navigating the client's care.