ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: D
Rationale: The correct answer is D because a child whose parents answer questions for them could indicate potential abuse, as it may suggest controlling behavior or fear of speaking out.
Choice A (obesity) is not a definitive sign of abuse.
Choices B (call light use) and C (frequent visitors) are not necessarily indicators of abuse, as they could have other explanations.
Question 2 of 5
The nurse is caring for a client diagnosed with Severe Intellectual Disability. Which of the following characteristics should the nurse recognize to be associated with Severe Intellectual Disability?
Correct Answer: B
Rationale: The correct answer is B: The client communicates wants and needs by 'acting out behaviors.' Individuals with Severe Intellectual Disability often have limited communication skills and may resort to behaviors such as acting out to express their needs and desires. This is a common characteristic of Severe Intellectual Disability.
Other choices are incorrect:
A: Other than possible coordination problems, the client's psychomotor skills are not affected - This is incorrect because individuals with Severe Intellectual Disability may have challenges with both cognitive and motor skills.
C: The client can perform some self-care activities independently - This is incorrect as individuals with Severe Intellectual Disability often require assistance with most self-care activities.
D: The client has advanced speech development - This is incorrect as individuals with Severe Intellectual Disability typically have delayed or impaired speech development.
Question 3 of 5
A client with a history of substance abuse is admitted to an acute care facility. Which of the following actions should the nurse perform first?
Correct Answer: C
Rationale: The correct answer is C: Assess the client for signs of withdrawal. This should be the first action because withdrawal symptoms can be life-threatening and need immediate attention. The nurse must assess the client's physical and mental status to determine the severity of withdrawal and provide appropriate interventions. Obtaining a complete health history from the client (
A) may be important but not as urgent as assessing for withdrawal symptoms. Administering medications prescribed for detoxification (
B) should only be done after assessing the client's withdrawal symptoms. Planning discharge goals with the family (
D) is premature and should be done after stabilization.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions by the client should the nurse interpret as a compulsive behavior?
Correct Answer: B
Rationale: The correct answer is B because handwashing rituals are a common compulsive behavior in individuals with OCD. These rituals are performed in an attempt to reduce anxiety or prevent harm related to obsessive thoughts. Continual thoughts about death (
A) may be distressing but not necessarily a compulsive behavior. Fears of contamination (
C) are common in OCD, but expressing these fears alone does not indicate a compulsive behavior. Excessive dependency on others (
D) may be a sign of another mental health issue, such as dependent personality disorder, but not specific to OCD compulsions.
Question 5 of 5
A nurse in an outpatient clinic is caring for a client who has depression. Which of the following actions should the nurse take to assist the client in coping with feelings of depression?
Correct Answer: C
Rationale: The correct answer is C: Plan a daily walking schedule with the client. Walking is a form of physical activity that can help improve mood and reduce symptoms of depression by releasing endorphins. It promotes relaxation and boosts self-esteem. Increasing caffeine intake (
A) can worsen anxiety and disrupt sleep patterns. Spending time alone (
B) may lead to isolation and exacerbate feelings of loneliness. Administering antianxiety medication (
D) is not an appropriate intervention for depression without proper assessment and prescription by a healthcare provider.