ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: Dark-colored urine may indicate liver toxicity, which is a rare but serious side effect of orlistat.
Question 2 of 5
A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Implement seizure precautions. This is the first action the nurse should take because acute alcohol withdrawal can lead to seizures, which are life-threatening. Implementing seizure precautions involves ensuring a safe environment, such as padding the client's bed rails and removing any potentially harmful objects. This intervention takes priority over the other options because it addresses the immediate risk to the client's safety.
Inserting an IV access site (choice
B) and obtaining a blood specimen (choice
C) may be necessary interventions but should not take precedence over ensuring the client's safety from potential seizures. It is important to address the most critical issue first in emergency situations.
Question 3 of 5
A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client during meals and snacks. This action promotes a therapeutic relationship and provides emotional support, which can help increase the client's motivation to eat. The nurse can also monitor the client's food intake and provide encouragement. Enrolling the client in a nutritional class (
A) may not address the immediate need for support during meals. Weighing the client daily (
B) is important for monitoring progress but does not directly address the client's emotional needs. Consulting with a chaplain (
C) may be beneficial for spiritual support but does not address the client's nutritional needs.
Question 4 of 5
A nurse is caring for a client who has rheumatoid arthritis and tells the nurse that she wears a copper bracelet to help her feel better. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A because it acknowledges and validates the client's feelings without dismissing her beliefs. It shows empathy and supports the therapeutic relationship.
Choice B could come off as confrontational and may lead to the client feeling defensive.
Choice C may make the client feel invalidated and dismissed.
Choice D may be seen as judgmental and could damage the trust between the nurse and client.
Therefore, choice A is the best response to maintain a positive and trusting relationship with the client.
Question 5 of 5
A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?
Correct Answer: C
Rationale: Disorganized speech is a common symptom of acute mania, reflecting rapid and pressured speech patterns.