ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: "You must be very upset about something." This response demonstrates empathy and understanding towards the client's emotional state, which is important in psychiatric care. It acknowledges the client's distress without dismissing their concerns or being confrontational. It opens the door for the client to express their feelings and allows for further assessment of their needs.
Choice A is incorrect as it is dismissive and confrontational, which can escalate the situation.
Choice B is incorrect as it fails to acknowledge the client's emotional state and comes across as rigid.
Choice D is incorrect as it instructs the client without addressing their emotional needs. Overall, choice C is the most appropriate response in this scenario as it shows empathy and initiates a therapeutic interaction.
Question 2 of 5
A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Restlessness. Opioid withdrawal typically presents with symptoms such as restlessness, anxiety, agitation, insomnia, and irritability. This is due to the body's dependence on opioids and the sudden absence of the drug. Bradycardia (
A), constipation (
B), and hypotension (
C) are actually common side effects of opioid use, not withdrawal.
Therefore, they would not be expected manifestations during opioid withdrawal.
Question 3 of 5
A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?
Correct Answer: C
Rationale: The correct answer is C: 6 months. Birth weight typically doubles by 6 months of age in infants. This is a key milestone in infant growth and development. By 6 months, infants have usually doubled their birth weight due to rapid growth and development during the first few months of life. At 3 months (choice
A), infants have not yet reached the doubling of birth weight milestone. By 9 months (choice
B), infants would have typically more than doubled their birth weight. By 12 months (choice
D), infants would have usually tripled their birth weight, making it an incorrect choice.
Question 4 of 5
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Correct Answer: B
Rationale: The correct answer is B: A needleless syringe and a doll. This play activity allows the child to role-play and familiarize themselves with the process of insulin injection in a non-threatening way. It helps the child gain a sense of control and understanding, reducing anxiety and fear associated with the actual injection.
Choice A may provide information but does not offer the hands-on experience needed for coping.
Choice C provides general play but does not address the specific issue of injection distress.
Choice D may distract the child but does not directly address the emotional aspect of the situation.
Question 5 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client’s compulsive behaviors?
Correct Answer: A
Rationale:
Correct Answer: A. Plan the client’s schedule to allow time for rituals.
Rationale: It is important to understand that individuals with OCD often find comfort in their rituals and routines. By planning the client's schedule to incorporate time for these rituals, the nurse can help reduce the client's anxiety and promote a sense of control. This approach acknowledges the client's needs and fosters a therapeutic environment.
Incorrect
Choices:
B. Isolating the client may worsen their symptoms by increasing feelings of loneliness and distress.
C. Confronting the client about the senseless nature of their behaviors can lead to increased anxiety and resistance to treatment.
D. Setting strict limits may cause the client to feel overwhelmed and may exacerbate their symptoms.