ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Use short, simple sentences when speaking to the client. This is the best action to take as clients with moderate anxiety may have difficulty processing complex information. Using short, simple sentences can help ease the client's anxiety and improve their understanding. Providing detailed explanations (
A) may overwhelm the client, asking questions (
C) may increase anxiety, and showing a 30-minute video (
D) may be too long and not tailored to the client's specific needs.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and states that they have given away their personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Can you tell me how you have been feeling lately?" This response shows empathy and allows the client to express their emotions, which is crucial in understanding their mental state and providing appropriate care.
Choice A may come off as judgmental, implying the client's actions were unwarranted.
Choice C minimizes the severity of the client's condition.
Choice D suggests a solution without first understanding the client's feelings.
Question 3 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: B
Rationale: The correct answer is B: "Have you noticed an increase in thirst?" This question is relevant because olanzapine can cause side effects such as increased thirst and dry mouth due to its anticholinergic properties. The nurse should ask about thirst to monitor for potential dehydration or other related issues.
Choices A, C, and D are incorrect because they are not commonly associated with olanzapine use. Decreased taste (
A) is not a typical side effect, unintentional weight loss (
C) is less likely with olanzapine which is known to cause weight gain, and ringing in the ears (
D) is not a common side effect of this medication.
Question 4 of 5
A nurse is caring for a client who has a depressive disorder. The client states, 'I don't always go to bed at night, so I get in trouble for falling asleep at work.' Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Keep a sleep diary to promote a consistent sleep schedule. This intervention is appropriate because it helps the client track their sleep patterns, identify any disruptions, and establish a routine for better sleep hygiene. By maintaining a sleep diary, the client and the nurse can pinpoint factors contributing to the sleep disturbances and work together to develop a plan to address them. This intervention focuses on addressing the underlying issue of inconsistent sleep patterns, which can be crucial in managing depressive symptoms.
Option A (Take a 1-hour nap every day) may not be the best choice as it could potentially further disrupt the client's sleep pattern and lead to difficulties falling asleep at night. Option B (Exercise late in the day, preferably before bedtime) may also not be ideal as exercising close to bedtime can actually stimulate the body and make it harder to fall asleep. Option D (Discontinue any medication until your sleep disruption is addressed) is inappropriate as abruptly stopping medication can have negative consequences and should only be done
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale: The correct answer is C: The client will attend to personal hygiene. This outcome is important in the treatment of borderline personality disorder as it can improve the client's self-esteem and overall well-being. Personal hygiene is a fundamental aspect of self-care and can help the client feel more in control and confident. It also promotes a sense of normalcy and routine, which can be beneficial in managing symptoms of the disorder.
The other choices are incorrect because:
A: Verbalizing an improved mood may not directly address the core issues of borderline personality disorder.
B: Decrease in hallucinations is more commonly associated with psychotic disorders, not borderline personality disorder.
D: Communicating needs is important, but attending to personal hygiene is more fundamental for daily functioning.
E, F, G: Not provided in the question.