ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: A
Rationale: The correct answer is A: Participate in solitary activities with a client who has mania. Assistive personnel can engage in activities that provide social interaction and support for clients with mania. This task does not require specialized nursing knowledge or assessment skills. The other choices involve providing education, obtaining consent, or explaining treatment modalities, which should be done by a licensed nurse due to the complexity and potential risks involved. It is important to delegate tasks that align with the assistive personnel's scope of practice and level of training to ensure safe and effective client care.
Question 2 of 5
A nurse is receiving change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: D
Rationale: The correct answer is D because clients with conversion disorder may present with sensory impairments, such as blindness or paralysis, without a clear medical cause. The nurse should assess for these impairments to provide appropriate care.
Choices A, B, and C do not necessarily require specific assessments related to sensory impairments.
Choice A is associated with self-centeredness, choice B with excessive worry, and choice C with compulsive behaviors.
Therefore, the nurse should focus on assessing client D for sensory impairments to address their unique needs.
Question 3 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because informing the counselor about trouble sleeping is crucial in relapse prevention for schizophrenia. Sleep disturbances can signal an impending relapse, and early intervention can prevent exacerbation of symptoms.
Choice A is incorrect as encouraging listening to hallucinations can worsen symptoms.
Choice B is incorrect as isolation can lead to increased stress and exacerbation of symptoms.
Choice C is incorrect as avoiding television does not address the underlying issue.
Question 4 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: The correct answer is A: Establish confidentiality guidelines with the client. This is the first action the nurse should take to build trust and establish a therapeutic relationship. Confidentiality is crucial in mental health care to ensure clients feel safe sharing personal information. Sharing information about the disorder (choice
B) may be important but should come after confidentiality is established. Assisting the client with coping strategies (choice
C) and helping them make behavioral changes (choice
D) are interventions that can be implemented once a trusting relationship is in place.
Question 5 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale:
Correct Answer: A - Have you noticed an increase in thirst?
Rationale: Olanzapine, an antipsychotic medication, can cause side effects such as increased thirst due to its anticholinergic properties. Asking the client about increased thirst can help monitor for potential side effects.
Summary:
B: Unintentional weight loss is not a common side effect of olanzapine, so it is not a priority question.
C: Ringing in the ears is not typically associated with olanzapine use, so this question is not relevant.
D: Decreased taste is not a common side effect of olanzapine, making this question less important than asking about increased thirst.