ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A, B, D, E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Providing small meals frequently helps prevent overwhelming the client and supports gradual weight gain.
B: Daily weight monitoring is essential to track the client's progress and assess the effectiveness of the treatment plan.
D: Staying with the client during and after meals helps ensure compliance with the meal plan and prevents purging behaviors.
E: Offering specific privileges for sustained weight gain can serve as positive reinforcement and motivation for the client.
Summary:
C: Allowing the client to choose meals may not always be appropriate as it can lead to food restriction and reinforce maladaptive behaviors.
F, G: Other options not provided in the answer key are not directly related to the management of anorexia nervosa in this context.
Question 2 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 3 of 5
A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because identifying precipitating factors for rituals helps the nurse understand triggers for OCD behaviors. This knowledge can guide interventions to prevent or manage these behaviors effectively. Discussing coping strategies (
A), teaching relaxation techniques (
C), or providing a structured activity schedule (
D) would be premature without understanding the root cause. In summary, addressing the triggers is crucial in managing OCD behaviors effectively.
Question 4 of 5
Which action is most therapeutic for a client with panic-level anxiety?
Correct Answer: B
Rationale: The correct answer is B: Remain with the client. This is most therapeutic because it provides immediate support and reassurance, helping to calm the client and prevent further escalation of panic. Remaining with the client shows empathy and offers a sense of security, which can help the client feel safer and more in control of their anxiety.
Choices A, C, and D do not address the immediate need for support and connection that a client in panic-level anxiety requires. Resting in bed may isolate the client, medication may not address the root cause, and joining a therapy group may not be feasible or helpful in the moment. Thus, choice B is the most appropriate response for managing panic-level anxiety effectively.
Question 5 of 5
A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Allowing the client to provide details at their own pace fosters a sense of control.