ATI RN
ATI Mental Health 2023 II 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: C
Rationale: The correct answer is C: "I will use the coping mechanisms that helped me in the past." This statement indicates that the client recognizes the importance of utilizing effective coping strategies that have proven helpful in managing their symptoms of major depressive disorder. By acknowledging the value of past successful coping mechanisms, the client demonstrates an understanding of self-care and proactive management of their condition.
A: "I will stay in bed on days when I feel exhausted." This statement suggests avoidance and isolation, which can exacerbate symptoms of depression.
B: "I will avoid talking about events that upset me." Avoidance of emotions can hinder progress in therapy and addressing underlying issues contributing to depression.
D: "I will rely on my partner to plan out my schedule each day." While support from a partner is beneficial, self-reliance and personal responsibility in self-care are key components in managing depression.
Question 2 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Remain with the client for 1 hr after meals. This is important in managing binge eating disorder as it helps prevent purging behaviors. By staying with the client, the nurse can offer support, prevent post-meal purging, and monitor the client for any signs of distress or discomfort.
Incorrect choices:
B: Weighing the client every other day can contribute to obsession with weight and body image, which can exacerbate the disorder.
C: Offering snacks when the client is hungry may not address the underlying issues causing the binge eating behavior.
D: Planning a menu with the client may not be appropriate as it could trigger anxiety or control issues related to food selection.
Question 3 of 5
A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E. Clients in a mental health facility have the right to the least restrictive environment to promote recovery (
B). Clients maintain the right to an attorney to protect their legal rights (
C). Clients have the right to privacy and confidentiality, which is crucial for building trust and ensuring effective treatment (E).
Incorrect choices:
A: Clients can refuse to take prescribed medications if they have capacity and are not a danger to themselves or others.
D: Clients can withdraw consent at any time, even after signing an informed consent form, as long as they have decision-making capacity and are not a danger to themselves or others.
Question 4 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client’s recovery?
Correct Answer: D
Rationale: The correct answer is D: The client’s best friend moved away. This factor might interfere with the client's recovery because social support plays a crucial role in managing stress and promoting healing post-surgery. Losing a close friend can lead to feelings of isolation and loneliness, which can exacerbate stress levels and negatively impact recovery.
Summary:
A: Walking the dog daily promotes physical activity, which can be beneficial for recovery.
B: Stopping drinking coffee may be a positive change for health.
C: Exercising in the morning is a healthy habit that can aid in recovery.
D: Losing a close friend can impact emotional well-being and hinder recovery.
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: D
Rationale:
Rationale: The nurse's priority is D: The client states that he is unable to eat more than once a day. This is the priority because it indicates a potential physical health concern like malnutrition, which can have immediate negative effects on the client's well-being. The other choices, while important, revolve around emotional responses to grief and loss, which are also significant but do not pose an immediate threat to the client's physical health.
Therefore, addressing the client's inability to eat adequately is crucial to prevent further health complications.