ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I'm so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Tell me the reasons you think your mother is depressed." This response demonstrates active listening and therapeutic communication. By asking the daughter to explain her concerns, the nurse can gather valuable information to assess the situation further. It also shows empathy and validates the daughter's perspective, building rapport and trust. This approach allows the nurse to obtain a comprehensive understanding of the client's condition and concerns, facilitating appropriate assessment and intervention.
Choices A, C, and D are incorrect:
A: Older adults are not usually diagnosed with depressive disorder solely based on age. Depression is a complex condition with various contributing factors.
C: Minimizing the daughter's concerns by stating that everyone gets depressed trivializes the situation and does not address the client's specific needs.
D: Assuring the daughter that depressive disorder is easily treated oversimplifies the condition and may create false expectations, potentially hindering effective assessment and treatment.
Question 2 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Cocaine is a stimulant that increases heart rate and blood pressure. This is due to its effects on the sympathetic nervous system, leading to vasoconstriction and increased cardiac output. Hypothermia (
A) is not expected as cocaine use typically raises body temperature. Lethargy (
B) is unlikely as cocaine is a stimulant that causes increased alertness and energy. Bradycardia (
C) is not a common manifestation of cocaine use since it usually results in tachycardia.
Question 3 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Request that the client's guardian sign the consent. In cases where a client has been declared legally incompetent, a guardian is legally responsible for making decisions on their behalf. This ensures that the client's best interests are considered and that the consent is valid. Asking the guardian to sign the consent is the appropriate action to take in this situation.
A: Explaining implied consent to the client's family is not sufficient as the client's legal guardian should be involved in decision-making for an incompetent client.
B: Asking the charge nurse to obtain informed consent may not be appropriate as the client's guardian should be the one making the decision.
C: While contacting the facility social worker may be helpful, it is ultimately the guardian's responsibility to provide consent for the incompetent client.
D: Requesting the client's guardian to sign the consent is the correct course of action in this scenario.
Question 4 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.
Question 5 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: D
Rationale: Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase. Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase. Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase. During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.