ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
Correct Answer: C
Rationale: The correct answer is C. The nurse's priority should be addressing the adolescent's statement about not liking any kids at school and not feeling liked by them. This is concerning as it indicates possible social isolation or peer relationship issues which can impact the adolescent's mental well-being. It is important to address this to prevent further emotional distress or potential bullying.
Choices A and B are common concerns related to physical development and self-image but do not pose immediate mental health risks.
Choice D may be explored but is not as urgent as addressing social relationships.
Question 2 of 5
A nurse is caring for a client who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Set behavioral limits for the client first. By establishing behavioral limits, the nurse ensures the safety of both the client and others in the unit. This action is crucial in managing the immediate risk of harm and maintaining a therapeutic environment. Exploring the truth of the client's statements (
B) can come later once safety is ensured. Explaining that the behavior was unacceptable (
A) may trigger aggression. Establishing a client relationship (
D) is important but should come after setting behavioral limits.
Question 3 of 5
A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crisis is the client experiencing?
Correct Answer: D
Rationale: The correct answer is D: Situational crisis. The client is experiencing a crisis due to a specific event - the sudden death of his wife. Situational crises are triggered by external events and disrupt an individual's ability to cope with daily life. In this case, the client's paralysis in coping with work and family responsibilities is directly linked to the situational crisis of losing his wife.
A: Maturational crisis occurs due to normal life transitions, such as marriage or starting a new job.
B: Adventitious crisis results from a natural disaster or traumatic event affecting a community.
C: Developmental crisis involves struggles related to normal life stages, like adolescence or midlife crisis.
In summary, the client's crisis is situational because it is caused by a specific event, differentiating it from maturational, adventitious, and developmental crises.
Question 4 of 5
A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?
Correct Answer: B
Rationale: The correct answer is B: Wild fidgeting. Severe anxiety often manifests physically, such as restlessness, fidgeting, and inability to sit still. This behavior is a common symptom of heightened anxiety levels. Attention-seeking conduct (
A) is more related to seeking recognition or approval, not necessarily anxiety. Threatening behavior (
C) is more indicative of aggression or anger, not anxiety. Mild difficulty problem solving (
D) is not a typical manifestation of severe anxiety, as anxiety tends to impair cognitive functions rather than cause mild difficulties.
Question 5 of 5
A nurse is caring for a client who reports an upset stomach after taking chlorpromazine. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Drink a glass of milk with each dose of your medication. Milk can help neutralize the acidity of chlorpromazine, reducing the chances of stomach upset. This is due to the antacid properties of milk. Option A is incorrect as taking the medication on an empty stomach can actually increase stomach upset. Option B is incorrect as lying down after taking the medication does not address the root cause of the upset stomach. Option C is incorrect because decreasing the dose may not be necessary if the issue can be managed by drinking milk.