ATI RN
ATI RN Mental Health 2023 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: A
Rationale: The correct answer is A because using coping mechanisms that have been effective in the past is a positive self-care behavior for managing major depressive disorder. This indicates the client's willingness to engage in strategies that have worked before, promoting coping and resilience.
Choice B is incorrect as relying solely on someone else for daily planning may lead to dependency and lack of autonomy.
Choice C is incorrect as staying in bed when feeling exhausted can perpetuate feelings of isolation and worsen depressive symptoms.
Choice D is incorrect as avoiding discussing upsetting events can hinder emotional processing and lead to increased distress.
Question 2 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Oxygen saturation is not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Phenelzine is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis.
Therefore, assessing the client's blood pressure is essential to monitor for potential hypertensive effects. Bowel sounds are not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Pupil response is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
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: B
Rationale: The correct answer is B because the client's daily meditation time being interrupted by therapy indicates spiritual distress. Meditation is often a key spiritual practice for individuals to find peace and connection. Therapy disrupting this routine may indicate a lack of spiritual fulfillment or distress. The other choices do not directly indicate spiritual distress as they mostly mention positive aspects of spiritual beliefs or practices.
Choice A shows that faith provides hope, choice C indicates comfort from meditation, and choice D suggests increased support from a spiritual advisor, all of which are positive indicators of spiritual well-being.
Question 4 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior every 15 min. This is crucial for monitoring the client's condition and assessing the effectiveness of seclusion. Documenting every 15 minutes allows the nurse to track changes in behavior, ensure safety, and provide necessary interventions promptly. Obtaining the provider's prescription within 60 minutes (
B) is important but not as immediate as documenting behavior. Monitoring vital signs (
C) is essential but should be done more frequently for a physically aggressive client in seclusion. Offering food and fluids (
D) is not a priority in this situation.
Question 5 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: B
Rationale: The correct answer is B: The client's best friend moved away. This factor may interfere with the client's recovery from coronary artery bypass surgery because social support plays a crucial role in reducing stress and promoting healing. Losing a close friend can lead to feelings of loneliness and isolation, which can negatively impact the client's emotional well-being and recovery process.
A: The client walks their dog daily - Regular physical activity is beneficial for recovery and stress management.
C: The client exercises in the morning - Regular exercise is important for recovery and stress relief.
D: The client has stopped drinking coffee - This alone is unlikely to significantly interfere with recovery.
In summary, choice B is correct as it directly affects the client's emotional state, while the other choices are less likely to interfere with recovery from coronary artery bypass surgery.