ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is a form of aversion therapy, which helps the client interrupt the obsessive thought pattern by associating it with a negative physical sensation. By snapping the rubber band on the wrist, the client creates a negative consequence for the behavior, making it less desirable to continue the checking behavior. This helps in breaking the cycle of obsessive thoughts and compulsive behaviors associated with obsessive-compulsive disorder.
A: Asking a family member to check the locks enables avoidance rather than addressing the underlying issue.
B: Keeping a journal may help increase awareness but does not actively interrupt the thought pattern.
C: Focusing on abdominal breathing is a relaxation technique that may help manage anxiety but does not directly address the obsessive behavior.
E, F, G: These options are not provided in the question and are therefore irrelevant.
Question 2 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Recent head injury. The nurse should report this finding to the provider because bupropion is contraindicated in patients with a history of seizures or recent head trauma. Bupropion lowers the seizure threshold, increasing the risk of seizures in these patients. Hepatitis B infection (choice
A), hypothyroidism (choice
B), and knee arthroplasty 1 month ago (choice
C) are not contraindications for bupropion use in smoking cessation. The presence of a recent head injury poses a significant risk and warrants immediate attention to ensure patient safety.
Question 3 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Encourage physical activity for the client during the day. Physical activity has been proven to improve mood and reduce symptoms of depression by increasing endorphins and reducing stress hormones. Exercise can also help regulate sleep patterns, improve self-esteem, and provide a sense of accomplishment. It is an evidence-based intervention for major depressive disorder.
Other choices are incorrect:
B: While alternative group activities can be beneficial, physical activity specifically has a direct impact on improving depression symptoms.
C: Discouraging the client from expressing feelings of anger is not therapeutic and may further suppress emotions, worsening the depressive symptoms.
D: Keeping a bright light on at night may disrupt the client's sleep patterns and is not a standard intervention for major depressive disorder.
Question 4 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Oxygen saturation is not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Phenelzine is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis.
Therefore, assessing the client's blood pressure is essential to monitor for potential hypertensive effects. Bowel sounds are not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Pupil response is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
Question 5 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: D
Rationale: Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase. Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase. Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase. During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.