ATI Mental Health Proctored Exam - Nurselytic

Questions 89

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ATI Mental Health Proctored Exam Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who has experienced intimate partner abuse. The nurse should identify which of the following outcomes as the priority?

Correct Answer: C

Rationale: The correct answer is C: The client develops a safety plan. This is the priority outcome because ensuring the client's safety is crucial in cases of intimate partner abuse. A safety plan helps the client to prepare for potential danger and protect themselves from harm. Joining a support group (
A), identifying techniques to reduce stress (
B), and identifying support systems (
D) are all important aspects of care but ensuring the client's immediate safety takes precedence. It is essential to address safety concerns first before focusing on other aspects of healing and recovery.

Question 2 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: C

Rationale:
Correct Answer: C - "I don’t feel anything but numbness anymore"


Rationale: This statement indicates a persistent emotional numbness, which is a common symptom of clinical depression. Numbness reflects a lack of emotional responsiveness and can be a sign of severe depression. Reporting this to the provider is crucial for further evaluation and intervention.

Incorrect

Choices:
A: "I don’t know how I could cope if I didn’t have my family’s support" - While expressing dependency on family support is understandable during grief, it does not necessarily indicate clinical depression.
B: "It’ll be a long time before I’m happy again" - This statement reflects a realistic view of the grieving process and does not specifically point towards clinical depression.
D: "I feel like I’m angry at the whole world right now" - Anger is a common emotion experienced during grief and does not solely indicate clinical depression.

Question 3 of 5

A nurse is assessing a client who has opioid withdrawal. Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: The correct answer is C: Insomnia. Opioid withdrawal typically leads to increased sympathetic activity, causing symptoms like insomnia. Hypotension (
A) is not common in opioid withdrawal, as opioids can actually cause hypotension. Hyperthermia (
B) is also not a typical finding in opioid withdrawal. Bradycardia (
D) is unlikely as opioids usually cause bradycardia, not withdrawal. Insomnia (
C) is a common symptom due to the dysregulation of sleep-wake cycles during opioid withdrawal.

Question 4 of 5

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: The correct answer is B: Visual hallucinations. During alcohol withdrawal, the client may experience hallucinations due to central nervous system hyperexcitability. This is a result of decreased levels of gamma-aminobutyric acid (GAB
A) and increased levels of glutamate in the brain. Hypotension (
A), hyperactivity (
C), and increased appetite (
D) are not typical findings during alcohol withdrawal. Hypotension may occur in severe cases of alcohol intoxication, but not during withdrawal. Hyperactivity is more commonly seen in stimulant withdrawal. Increased appetite is not a characteristic symptom of alcohol withdrawal.

Question 5 of 5

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and tension. The individual may find it difficult to relax or sit still. Increased energy (choice
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued. Euphoric mood (choice
C) is not likely, as anxiety tends to cause distress. Depersonalization (choice
D) is more commonly associated with dissociative disorders, not generalized anxiety disorder.

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