ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on a mental health unit is caring for clients who have various depressive disorders. The nurse should identify which of the following client diagnoses as presenting the greatest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. This diagnosis presents the greatest risk for suicide due to the severity and intensity of depressive symptoms, including pervasive feelings of hopelessness, worthlessness, and suicidal ideation. Clients with major depressive disorder often experience significant impairment in daily functioning, making them more vulnerable to suicidal behavior. Other choices like premenstrual dysphoric disorder (
A), seasonal affective disorder (
B), and persistent depressive disorder (
D) may also have depressive symptoms but are generally less severe and do not typically carry the same level of suicide risk as major depressive disorder.
Question 2 of 5
A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I wonder if you are fearful of dying alone." This response shows empathy and understanding towards the client's emotional state. It acknowledges the client's feelings of fear and addresses the underlying concern regarding dying alone. It opens up a conversation for the client to express their emotions and concerns.
Incorrect choices:
A: "We will call your family in time for them to get here." - This choice focuses on logistics rather than addressing the client's emotional needs.
C: "I will make sure a staff member is in your room at all times." - This choice addresses physical safety but does not address the emotional aspect of the client's statement.
D: "I will tell your family of your concern so that they can be here." - This choice does not directly address the client's feelings and may not provide the emotional support needed.
Question 3 of 5
A nurse in an acute care facility is admitting an older adult client who has dementia due to Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more and more difficult to care for his wife. Which of the following interventions is the nurse’s priority?
Correct Answer: C
Rationale: The correct answer is C: Ask the partner to talk about his difficulties in caring for the client. The nurse's priority should be to assess the partner's current situation and provide support. By encouraging the partner to talk about his difficulties, the nurse can better understand his needs and concerns. This open communication can help identify specific challenges the partner is facing and enable the nurse to offer appropriate resources and assistance. This intervention focuses on addressing the partner's immediate emotional and practical needs, which is crucial in ensuring the well-being of both the partner and the client.
Summary:
A: Recommending placing the client in a long-term care facility is not the priority as the partner's well-being and coping strategies need immediate attention.
B: Suggesting counseling for the partner is beneficial but addressing his current emotional state and needs should come first.
D: Calling a family meeting may be helpful, but immediate support for the partner should be the priority.
Question 4 of 5
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client’s head is down, and he is wringing his hands. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Remain with the client. The nurse should stay with the client to provide support and ensure safety. This action shows empathy and allows the nurse to assess the client's needs. Encouraging the client to go back to bed (
A) may not address the underlying issue causing the restlessness. Giving a PRN sleeping medication (
B) may not be appropriate without further assessment. Exploring alternatives to pacing (
D) is a good idea but should come after ensuring immediate support.
Question 5 of 5
A client at 36 weeks gestation has just delivered a stillborn baby. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You may hold your baby as long as you want." This statement allows the client to process the loss by spending time with their baby. It promotes bonding, closure, and helps in the grieving process.
Choice A is inappropriate as it shifts focus from the client to the nurse.
Choice C may not be what the client desires and may not address their immediate needs.
Choice D is insensitive, dismissive, and invalidates the client's emotions.