ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is taking care of a client who is cognitively impaired. The nurse recognizes that which of the following rooms will provide a therapeutic environment for this client?
Correct Answer: B
Rationale: The correct answer is B because a room containing personal belongings can provide familiarity and comfort for a cognitively impaired client, helping to reduce anxiety and confusion. Personal belongings can serve as memory cues and promote a sense of identity and security.
A: A room without a window may lead to a lack of natural light and connection to the outside world, which can negatively impact the client's mood and circadian rhythm.
C: A room adjacent to the nursing station may increase noise levels and disrupt the client's sense of privacy and autonomy.
D: A room with dim lighting may further impair the client's ability to navigate and interact with the environment, potentially increasing the risk of falls and accidents.
Question 2 of 5
A nurse in the acute mental health unit is admitting a new client with an eating disorder. The nurse is aware that which of the following are considered comorbidities of eating disorders? (Select all that apply.)
Correct Answer: A,B,E
Rationale: The correct answer includes depression, obsessive-compulsive disorder (OC
D), and anxiety as comorbidities of eating disorders. Depression is often associated with eating disorders due to feelings of hopelessness and sadness. OCD can manifest as obsessive thoughts about food and compulsive behaviors related to eating. Anxiety can exacerbate disordered eating patterns. Schizophrenia and breathing-related sleep disorder are not typically considered comorbidities of eating disorders. In summary, the correct answer is based on the common psychological conditions that often co-occur with eating disorders, while the incorrect choices do not have strong associations with eating disorders.
Question 3 of 5
A nurse notices that a client who has moderate anxiety is pacing the corridor and rambling. As the nurse approaches, the client states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Come with me to an area where we can talk without interruption." This response demonstrates active listening, empathy, and a willingness to provide support. By offering a private space for the client to express their feelings, the nurse can establish trust and create a therapeutic environment for effective communication and problem-solving. This approach allows the nurse to assess the client's needs, provide emotional support, and potentially de-escalate the situation.
Incorrect responses:
B: Providers usually recommend relaxation exercises for clients who are as upset as you are.
- This response may come across as dismissive and not address the client's immediate concerns.
C: An antianxiety pill works best for situations like this.
- Jumping to medication without proper assessment and exploration of coping strategies may not be appropriate.
D: Most clients with anxiety issues benefit from lying down.
- This response is generalized and does not consider the individual client's preferences or needs.
Question 4 of 5
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
Correct Answer: B
Rationale: The correct answer is B: "None of the kids at this school like me, and I don't like them either." This statement raises concerns about social relationships and potential feelings of isolation, which are important aspects of adolescent mental health. Addressing these feelings can help prevent negative impacts on the adolescent's self-esteem and overall well-being.
Choices A, C, and D are also important concerns, but they do not necessarily indicate immediate emotional distress or potential for negative consequences as explicitly as choice B.
Choice A focuses on a common physical concern, choice C mentions parental dynamics, and choice D is related to puberty, all of which are valid but may not require immediate attention compared to the social isolation expressed in choice B.
Question 5 of 5
A nurse is providing teaching to a client who has alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?
Correct Answer: B
Rationale:
Correct
Answer: B - "I am powerless against my addiction to alcohol."
Rationale: This statement reflects the key concept of powerlessness in Alcoholics Anonymous (A
A). AA teaches that individuals with alcohol use disorder are powerless over alcohol and need to surrender to a higher power for support. By acknowledging powerlessness, individuals can begin their recovery journey. This statement shows the client understands the fundamental principle of admitting their lack of control over alcohol.
Incorrect
Choices:
A: Incorrect - This statement focuses on external factors causing alcoholism, while AA emphasizes personal responsibility and internal reflection.
C: Incorrect - AA does not blame individuals for their alcoholism but encourages them to take responsibility for their recovery.
D: Incorrect - AA promotes self-reliance and accountability, rather than relying solely on a counselor for recovery.