ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
Correct Answer: D
Rationale: Offering to talk with the caregiver about their feelings is the most immediate and direct way to provide support. It addresses the caregiver’s current emotional distress by providing an outlet through active listening and empathy, which can alleviate immediate stress. This step precedes teaching relaxation techniques (preventive rather than immediate), referrals to support groups (long-term support), or consulting social services (a follow-up action), making it the priority in this acute emotional crisis.
Question 2 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: ECT is primarily used for severe depression, and improvement in depressive symptoms (e.g., mood, energy) is the key effectiveness indicator. Seizure frequency isn’t reduced (ECT induces them), panic attacks and phobias aren’t primary targets.
Extract:
Medical History
A 21-year-old client was brought to the emergency department by their college friend. The friend reports that the client has been in their room for a week and has not bathed or attended class for one week. Current medications include venlafaxine 150 mg daily. The client denies the use of over-the-counter and herbal medications but has thought about starting St. John’s Wort to help with symptoms.
Nurses’ Notes
0800: The client is dressed in wrinkled sweatpants, a stained t-shirt, and is sitting alone at breakfast. The client ate one bite of toast. The client makes no eye contact, stands up slowly, and asks to go back to the room to sleep.
0945: The client is out in the day room after sleeping for 1 hour. The client is walking with their head down. The client reports having no interest in classes or contacting friends and states, “I just feel so sad and hopeless right now.” The client lost their parents in a car accident at age 18 and fell into a deep depression. The client tried therapy and an antidepressant and found the interventions effective.
Question 3 of 5
A behavioral health unit nurse is caring for a newly admitted client.Exhibits:Complete the following sentence by using the lists of options: The client demonstrates risk for ___ due to ___.
Correct Answer: A,B
Rationale: The client’s sadness and hopelessness, linked to parental loss and isolation, indicate a risk exacerbated by feeling powerless over life events.
Extract:
Question 4 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Monitoring bathroom trips prevents purging, a key behavior in bulimia, ensuring safety and treatment efficacy. Family food may trigger binges, self-scheduling risks unhealthy patterns, and frequent exercise reinforces compensatory behaviors.
Question 5 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Dizziness is a common adverse effect of quetiapine, often due to orthostatic hypotension, not an allergy. This response reassures the client and explains the cause, suggesting management like rising slowly. Meals don’t address dizziness, stopping for allergy is incorrect, and morning timing doesn’t mitigate it.