ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will use the coping mechanisms that helped me in the past." This response indicates understanding as it shows the client's awareness of their previous successful strategies for managing depressive symptoms. By recognizing the effectiveness of past coping mechanisms, the client demonstrates an understanding of self-care and the importance of utilizing proven strategies.
Summary of other choices:
A: "I will stay in bed on days when I feel exhausted." - This choice reflects a passive and potentially maladaptive behavior that may worsen depression symptoms.
C: "I will avoid talking about events that upset me." - Avoidance can lead to suppression of emotions and hinder the client's ability to address underlying issues.
D: "I will rely on my partner to plan out my schedule each day." - This choice indicates dependence on others rather than promoting self-reliance and self-care behaviors.
Question 2 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A: Inform the client that they have the legal right to refuse treatment at any time.
Rationale: The correct answer is A because it is essential to respect the client's autonomy and right to make decisions about their own healthcare. Informed consent is a fundamental principle in healthcare and the client has the right to accept or refuse treatment. By informing the client of their right to refuse the procedure, the nurse upholds ethical principles and promotes patient-centered care.
Summary:
B: Encouraging the client to have the procedure disregards the client's autonomy and right to make decisions.
C: Obtaining consent from the client's family member is not appropriate as the decision should be made by the competent client.
D: Requesting another nurse to review the procedure does not address the client's right to refuse treatment.
Extract:
Nurses’ Notes
1100: Client is alert and oriented x 4. The client exhibits positive self-esteem. No negativity noted during conversation. Preparing client for discharge to partial-hospitalization program.
1230: Client requests a smoked turkey club sandwich for lunch. Education regarding medications provided.
Medical History
Client has a history of major depressive disorder.
Medication Administration Record
Selegiline 5 mg PO twice daily
Question 3 of 5
A nurse is caring for a client on an acute care mental health unit. Exhibits:The nurse is providing discharge education to the client about their medication. Drag 1 condition and 1 client finding to fill in each blank in the following sentence.When educating the client about their medication, the nurse should teach the client that there is a risk for ___ due to ___.
Correct Answer: A,B
Rationale: Action to Take: A, B; Potential Condition: Ingestion of tyramine; Parameter to Monitor: Hypertensive crisis, Nervous System Instability.
Rationale:
1. Action A: Hypertensive crisis - Tyramine-containing foods can interact with certain medications causing a hypertensive crisis.
2. Action B: Ingestion of tyramine - Educating the client on avoiding tyramine-rich foods to prevent hypertensive crisis.
3. Potential Condition: Ingestion of tyramine - Tyramine can lead to a hypertensive crisis when combined with specific medications.
4. Parameters to Monitor: Hypertensive crisis, Nervous System Instability - Monitoring blood pressure for hypertensive crisis and signs of nervous system instability for adverse effects.
Extract:
Question 4 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's bathroom trips. This is crucial in managing bulimia nervosa as it helps assess potential purging behavior, which is common in individuals with this disorder. Monitoring bathroom trips allows the nurse to intervene promptly if the client engages in harmful behaviors like self-induced vomiting.
Choice B is incorrect because allowing the family to bring food may enable the client's disordered eating patterns.
Choice C is incorrect as clients with bulimia nervosa often struggle with creating healthy meal schedules, so guidance from healthcare professionals is essential.
Choice D is incorrect because excessive exercise can contribute to the maintenance of the disorder.
Question 5 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C because the client stating they are unable to eat more than once a day indicates potential malnutrition and a risk to their physical health. This finding requires immediate attention as malnutrition can lead to serious complications.
Choice A relates to grief and anger, which are important but not an immediate priority.
Choice B focuses on guilt, which is also significant but does not pose an immediate threat to physical health.
Choice D is about recalling negative experiences, which may indicate emotional distress but does not present an immediate physical risk.