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 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 3 of 5
A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)
Correct Answer: A
Rationale: The correct answer is A: Monitor for suicidal ideation. This is the priority intervention because individuals with depression are at increased risk for suicide. Monitoring for suicidal ideation allows for early detection and intervention. Encouraging social isolation (
B) is incorrect as social support is crucial in managing depression. Increasing sedative medication (
C) may lead to dependence and does not address the underlying issues. Teaching relaxation techniques (
D) is helpful but not the priority when dealing with potential suicidal risk.
Question 4 of 5
A nurse is assessing a client with anxiety. Which symptom should the nurse expect? (Hypothetical)
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Anxiety often manifests as restlessness due to increased arousal and nervousness. This can result in fidgeting, pacing, or inability to sit still. Improved concentration (
B) is unlikely as anxiety can impair focus. Increased appetite (
C) is not a common symptom of anxiety, as it can lead to loss of appetite. Lethargy (
D) is more characteristic of depression than anxiety.
Question 5 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "Dizziness is a common adverse effect of the medication and is related to low blood pressure." Quetiapine, an antipsychotic medication, commonly causes dizziness as a side effect due to its potential to lower blood pressure. This response educates the client about a known side effect of the medication and provides a logical explanation for the dizziness.
Rationale for Incorrect
Choices:
A: Incorrect. Taking the medication with a meal may help reduce gastrointestinal side effects but is not directly related to dizziness.
B: Incorrect. Dizziness does not necessarily indicate an allergic response, and stopping the medication abruptly without consulting a healthcare provider can be dangerous.
C: Incorrect. The timing of medication administration does not directly affect the occurrence of dizziness associated with quetiapine.
By providing education on the common adverse effect of quetiapine and its relation to dizziness, the nurse empowers the client with knowledge and promotes safe medication management.