ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
How should a nurse address compulsive behaviors in a newly admitted client with OCD?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Setting strict limits on behaviors is the most appropriate approach to address compulsive behaviors in a client with OCD. By setting clear boundaries and limits, the nurse helps the client understand what is acceptable and what is not, which can help reduce the compulsive behaviors over time. This approach establishes a structured environment that promotes consistency and predictability for the client, which is crucial in managing OCD symptoms. It also helps to prevent the reinforcement of compulsive behaviors that can occur with other approaches like allowing additional time for rituals or isolating the client. Confronting the client may lead to resistance and increased anxiety. Encouraging group activities may not directly address the compulsive behaviors.
Question 2 of 5
Where should a nurse assign a client experiencing manic behavior?
Correct Answer: B
Rationale: The correct answer is B. A client experiencing manic behavior requires a calm and quiet environment to prevent overstimulation. A private room in a quiet location would help reduce external stimuli and promote relaxation. Placing the client in a semi-private room across from the day room (choice
A) or snack area (choice
C) may lead to increased stimulation, exacerbating manic symptoms. Additionally, a shared room near the nursing station (choice
D) could be disruptive for both the client and other patients.
Therefore, choice B is the most appropriate option for managing manic behavior effectively.
Question 3 of 5
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Correct Answer: C, E
Rationale: Negative symptoms of schizophrenia include anhedonia (inability to experience pleasure) and blunt affect (reduced emotional expression). Delusions and hallucinations are positive symptoms.
Question 4 of 5
A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.5° C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Neuroleptic malignant syndrome (NMS). NMS is a rare but life-threatening side effect of antipsychotic medications like haloperidol. The client's symptoms of high fever, elevated blood pressure, and muscle rigidity are classic signs of NMS. The nurse should suspect NMS due to the acute onset of these symptoms in a client taking haloperidol.
A) Agranulocytosis is a potential side effect of antipsychotic medications but does not present with the same symptoms as NMS.
B) Akathisia is characterized by restlessness and does not typically involve fever or muscle rigidity.
C) Tardive dyskinesia is a movement disorder that develops with long-term antipsychotic use and does not present acutely with fever and elevated blood pressure.
Therefore, the correct choice is D as it aligns with the client's presentation and medication history.
Question 5 of 5
A nurse on a mental health unit is caring for clients who have various depressive disorders. The nurse should identify which of the following client diagnoses as presenting the greatest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. This diagnosis presents the greatest risk for suicide due to the severity and intensity of depressive symptoms, including pervasive feelings of hopelessness, worthlessness, and suicidal ideation. Clients with major depressive disorder often experience significant impairment in daily functioning, making them more vulnerable to suicidal behavior. Other choices like premenstrual dysphoric disorder (
A), seasonal affective disorder (
B), and persistent depressive disorder (
D) may also have depressive symptoms but are generally less severe and do not typically carry the same level of suicide risk as major depressive disorder.