ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: D
Rationale: The correct answer is D because individuals with severe obsessive-compulsive disorder may experience sensory impairments due to their obsessive thoughts and compulsive behaviors. This can manifest as heightened sensitivity to certain stimuli or a distorted perception of reality. The nurse should assess this client for risks related to these sensory impairments to ensure their safety and well-being.
Choice A (conversion disorder) is incorrect as it is characterized by physical symptoms that are not explained by any underlying medical condition.
Choice B (mild anxiety disorder) is incorrect as sensory impairments are not typically associated with mild anxiety.
Choice C (narcissistic personality disorder) is incorrect as it is a personality disorder characterized by a pattern of grandiosity, need for admiration, and lack of empathy, not sensory impairments.
Question 2 of 5
A nurse is caring for a client who has social anxiety disorder. The client reports experiencing feelings of anxiousness that disrupt their sleep. Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct recommendation is A: Try guided imagery before bedtime. Guided imagery is a relaxation technique that can help reduce anxiety and promote better sleep. By engaging in guided imagery, the client can focus on positive mental images, calming their mind and body, leading to improved sleep. This technique is evidence-based and has been shown to be effective in managing anxiety and improving sleep quality.
Other choices are incorrect:
B: Lie in bed and try to make yourself fall asleep - This can increase anxiety and worsen sleep disturbances.
C: Eat something substantial before getting ready for bed - Eating a large meal before bed can disrupt sleep and exacerbate anxiety.
D: Restrict the amount of sleep you are getting - Restricting sleep can worsen anxiety symptoms and lead to further sleep disturbances.
Question 3 of 5
A nurse is assessing the sleep pattern of a client who has an anxiety disorder. The client reports having difficulty sleeping most nights. Which of the following recommendations should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Exercise at least 3 hours before bedtime. Exercise helps reduce anxiety and promotes better sleep by releasing endorphins and reducing stress hormones. Exercising too close to bedtime can actually stimulate the body, making it harder to fall asleep.
Choice A is incorrect as watching television can be stimulating and disrupt sleep.
Choice C is incorrect as eating too close to bedtime can lead to indigestion and discomfort.
Choice D is incorrect as taking a long nap during the day can interfere with nighttime sleep.
Question 4 of 5
A nurse in an outpatient mental health facility is preparing to administer phenelzine to a client who has been taking this medication for several years. The client reports eating a grilled cheese sandwich and a banana for lunch and is feeling dizzy. Which of the following vital signs should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can cause hypertensive crisis if combined with foods high in tyramine, like cheese and bananas. Assessing blood pressure first is critical to monitor for any signs of hypertensive crisis, such as a sudden increase in blood pressure that could lead to serious complications. Respiration, pulse, and temperature are also important to assess, but blood pressure takes precedence in this situation due to the potential life-threatening effects of hypertensive crisis.
Question 5 of 5
A nurse is caring for a client who states, 'I have been having trouble sleeping for the last several months.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct
Answer:
A) "You should avoid stressful activities prior to going to sleep."
Rationale:
1. Stressful activities can increase arousal, making it difficult to fall asleep.
2. Avoiding stressors before bed can help the client relax and prepare for sleep.
3. Engaging in calming activities promotes a restful sleep environment.
4. This response addresses the client's sleep issue by suggesting a practical solution.
Summary of Incorrect
Choices:
B) Exercising close to bedtime can increase alertness, making it harder to fall asleep.
C) Taking a nap in the afternoon can disrupt the client's ability to sleep at night.
D) Watching TV in bed can stimulate the brain, making it challenging to unwind and sleep.