ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).
Correct Answer: C,D,E
Rationale: C: Suicide risk tends to increase with age, particularly for men. Individuals over 45, especially those facing chronic illness, social isolation, or significant life changes, are at higher risk. D: Substance use disorder is a significant risk factor for suicide. Substance abuse can contribute to feelings of hopelessness and despair, impair judgment, and lower inhibitions, increasing the likelihood of suicidal behavior. E: Schizophrenia is a mental disorder associated with an increased risk of suicide. The symptoms of schizophrenia, such as hallucinations, delusions, and feelings of isolation, can contribute to severe distress and increase the risk of suicidal ideation and behaviors.
Question 2 of 5
A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?
Correct Answer: B
Rationale: Conducting a thorough assessment and review of the client's behavior, including any cues or warning signs that may have indicated suicidal ideation, can help identify gaps in care and improve risk assessment and management for future clients.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: B
Rationale: Command hallucinations involve hearing voices that command the individual to take specific actions, often harmful ones. These types of hallucinations are considered a significant priority because they can lead to dangerous behaviors, self-harm, or harm to others. Addressing and managing command hallucinations promptly is crucial to ensure the safety of the individual and those around them.
Question 4 of 5
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: Given the significant weight loss and the client's distorted belief about her body image, it is crucial to assess the client's nutritional status first. Rapid weight loss and distorted body image are characteristic features of an eating disorder, such as anorexia nervosa.
Question 5 of 5
A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing interventions should the nurse take?
Correct Answer: A
Rationale: Monitoring the client's weight on a regular schedule is important in managing anorexia nervosa. It helps track progress and any potential complications related to weight loss.