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: Using past coping mechanisms shows understanding of proactive self-care, leveraging familiar strategies to manage depression. Staying in bed reinforces withdrawal, avoiding discussion hinders processing, and relying on others reduces autonomy, all contrary to effective self-care.
Question 2 of 5
A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
Correct Answer: B
Rationale: If the client demonstrates control over their actions, it suggests they are no longer at immediate risk of harm, allowing consideration for discontinuing restraints. This aligns with guidelines to use restraints only when necessary and remove them as soon as safe. An apology, a request for release, or a contract are positive but insufficient without evidence of sustained behavioral control.
Question 3 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: A
Rationale: This statement indicates spiritual distress because it reflects a disruption in the client’s spiritual practice due to therapy scheduling. Meditation, a key spiritual routine, being interrupted can lead to disconnection and distress. Increased advisor visits, comfort from meditation, and faith giving hope suggest spiritual strength, not distress.
Question 4 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: D
Rationale: The ability to follow commands indicates cooperation and reduced risk, justifying restraint removal. Orientation alone isn’t enough, refusal or threats suggest ongoing danger requiring further assessment.
Question 5 of 5
A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)
Correct Answer: A
Rationale: Monitoring for suicidal ideation is the priority in depression care due to the high risk of self-harm, ensuring safety before other interventions. Isolation worsens depression, sedatives may mask symptoms, and relaxation is secondary to safety.