ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and is now pacing up and down the corridors of the unit. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Walking with the client helps provide support while allowing them to work through their anxiety.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: Command hallucinations pose the highest risk as they may direct the client to harm themselves or others.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Significant change in weight. In major depressive disorder (MD
D), clients commonly experience changes in appetite, leading to weight loss or gain. This occurs due to alterations in serotonin levels affecting hunger and satiety. Weight changes are often associated with feelings of worthlessness and guilt in MDD. Hyperexcitability (
B) is not a typical finding in MDD, as individuals with depression often report feeling fatigued or lethargic. Exaggerated response to stimuli (
C) is more indicative of anxiety disorders rather than MDD. Attention-seeking behavior (
D) is not a characteristic symptom of MDD but may be seen in other mental health conditions.
Question 4 of 5
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: A client who refuses a safety contract is at high risk, requiring constant supervision to ensure safety.
Question 5 of 5
A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)
Correct Answer: A, B, D
Rationale: MSE evaluates cognitive function, including memory, emotional expression (affect), and self-care abilities (grooming).