ATI RN
ATI nsg 133 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a newly admitted client diagnosed with major depressive disorder following the loss of a child. Which of the following goals should the nurse identify as the priority?
Correct Answer: D
Rationale: The correct answer is D: The client makes a contract to avoid self-harm. This is the priority goal because individuals with major depressive disorder, especially following a significant loss, are at an increased risk of self-harm or suicide. By having the client make a contract to avoid self-harm, the nurse is addressing the immediate safety and well-being of the client. This goal helps ensure that the client remains safe during a vulnerable time.
A: While it is important for the client to be involved in the care planning process, ensuring safety takes precedence.
B: Identifying positive qualities is beneficial for self-esteem but may not address the immediate safety concerns.
C: Exhibiting expected grieving behaviors is important, but ensuring safety is the priority.
Summary: The priority goal is to address the client's safety by making a contract to avoid self-harm, as this directly addresses the heightened risk associated with major depressive disorder following a significant loss.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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