ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client during meals and snacks. This action promotes a therapeutic relationship and provides emotional support, which can help increase the client's motivation to eat. The nurse can also monitor the client's food intake and provide encouragement. Enrolling the client in a nutritional class (
A) may not address the immediate need for support during meals. Weighing the client daily (
B) is important for monitoring progress but does not directly address the client's emotional needs. Consulting with a chaplain (
C) may be beneficial for spiritual support but does not address the client's nutritional needs.
Question 2 of 5
A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors?
Correct Answer: C
Rationale: OCD rituals are performed to reduce anxiety, even if they are illogical or excessive.
Question 3 of 5
A nurse is caring for a client whose partner is requesting to bring the client food from home that is not allowed in the client's dietary plan. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging inclusion of preferred foods within dietary restrictions promotes cooperation and adherence.
Question 4 of 5
A nurse is speaking with a client experiencing anxiety. Which of the following responses is most therapeutic?
Correct Answer: B
Rationale: The correct answer is B, "Come with me to an area where we can talk without interruption." This response is most therapeutic because it acknowledges the client's need for privacy and establishes a safe and confidential space for the client to express their feelings. By offering to talk without interruption, the nurse demonstrates active listening and empathy, which can help the client feel supported and understood.
Choice A is incorrect because assuming that all clients benefit from lying down may not be appropriate or therapeutic for everyone experiencing anxiety.
Choice C is incorrect because suggesting relaxation exercises may not address the immediate needs of the client in distress.
Choice D is incorrect because immediately jumping to medication may not be the most therapeutic approach without first exploring other coping strategies or interventions.
Question 5 of 5
A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Implement seizure precautions. This is the first action the nurse should take because acute alcohol withdrawal can lead to seizures, which are life-threatening. Implementing seizure precautions involves ensuring a safe environment, such as padding the client's bed rails and removing any potentially harmful objects. This intervention takes priority over the other options because it addresses the immediate risk to the client's safety.
Inserting an IV access site (choice
B) and obtaining a blood specimen (choice
C) may be necessary interventions but should not take precedence over ensuring the client's safety from potential seizures. It is important to address the most critical issue first in emergency situations.