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 answer indicates that the client recognizes the importance of utilizing effective coping strategies to manage their depressive symptoms. By acknowledging the value of previously successful coping mechanisms, the client demonstrates insight and proactive engagement in self-care.
A: "I will stay in bed on days when I feel exhausted." - Incorrect. Isolating oneself and remaining in bed can exacerbate depressive symptoms and hinder recovery.
C: "I will avoid talking about events that upset me." - Incorrect. Avoiding discussing upsetting events can lead to emotional suppression and lack of resolution, potentially worsening depressive symptoms.
D: "I will rely on my partner to plan out my schedule each day." - Incorrect. While support from a partner is beneficial, dependence on others for daily planning may hinder the client's autonomy and self-efficacy in managing their depression.
Question 2 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Initiates social interactions with caregivers. For individuals with autism spectrum disorder, social skills development is a key goal. By initiating social interactions with caregivers, the adolescent can practice communication, build relationships, and enhance social functioning. This outcome focuses on improving social interaction abilities, which is crucial for the adolescent's overall well-being and integration into society.
Other choices are incorrect because:
B: Acknowledging delusions is not typically a characteristic of autism spectrum disorder.
C: Changing behavior due to peer pressure may not be appropriate or beneficial for someone with autism spectrum disorder.
D: Meeting own needs without manipulating others is a positive trait, but it is not specific to the goals of social interaction and communication targeted in this case.
Question 3 of 5
For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
Correct Answer: D
Rationale: The correct answer is D because a nurse is mandated to report any suspicion of child abuse or neglect, such as the partner tying the child to a bed. This falls under the category of child maltreatment, which must be reported to the appropriate agency to ensure the safety and well-being of the child.
Choices A, B, and C do not involve immediate harm to a vulnerable individual and do not fall under the mandated reporting requirements for nurses.
Extract:
Vital Signs
Admission, 1600:
Temperature: 36.1° C (97° F)
Blood pressure: 98/66 mm Hg
Heart rate: 76/min
Respiratory rate: 10/min
Pulse oximetry: 95% on room air
Diagnostic Results
Blood alcohol level (BAC): 310 mg/dL (0 to 50 mg/dL)
History & Physical
Neurological: Client is intoxicated, has slurred speech, and is unable to coherently respond to questions.
Cardiovascular: Normal sinus rhythm and pulses palpable. No history of heart disease.
Respiratory: Chest clear to auscultation and no shortness of breath noted. No history of respiratory disorders and client states they quit smoking over 20 years ago.
Gastrointestinal: Client reports weight loss over the past 3 months and minimal appetite.
Genitourinary: Client reports no known problems.
Impression: Relapse of alcohol use disorder.
Plan: Admit for alcohol use disorder and observe for alcohol withdrawal.
Nurses’ Notes
Client brought in by a family member who states that the client has been drinking “nonstop since the death of the client’s parents 3 months ago.”
Client has a history of alcohol use disorder for over 20 years.
Client attended an inpatient rehabilitation program 5 years ago and remained sober until several months ago when both parents died.
According to the client’s family member, the client has been unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client’s family member states, “Everything combined caused the drinking to start again.”
Family member estimates the client’s last drink was 2 hours ago.
Question 4 of 5
A nurse in a mental health facility is admitting a client.Exhibits:Complete the following sentence by using the lists of options. The client is at risk for developing ___ as evidenced by the client's ___.
Correct Answer: A,B
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: E, F.
Rationale: The correct actions are A (monitor for alcohol withdrawal symptoms) and B (assess history of alcohol consumption). The potential condition is seizures (
C) which can be a complication of alcohol withdrawal. Parameters to monitor are High Blood Alcohol Level (E) and Hallucinations (F) as indicators of alcohol-related issues. Unemployment (
D) is not directly related to alcohol withdrawal, making it incorrect.
Extract:
Question 5 of 5
A nurse is caring for a group of clients in a mental health facility. Which of the following is a task that can be delegated to assistive personnel?
Correct Answer: B
Rationale: The correct answer is B. Sitting with a client who has anorexia during mealtimes can be delegated to assistive personnel as it involves providing emotional support and encouragement. This task does not require specialized nursing skills and can be safely performed by assistive personnel under the supervision of a nurse.
Choices A, C, and D involve complex assessments, critical thinking, and specialized skills that should be performed by a licensed nurse. Reinforcing coping mechanisms, discussing relapse prevention, and administering medications all require nursing judgment and expertise. Delegating these tasks to assistive personnel could compromise the quality of care and put the client's safety at risk.