ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Which activity is most appropriate for a child with ADHD?
Correct Answer: D
Rationale: The correct answer is D: Tennis. Physical activities like tennis can help children with ADHD by allowing them to release excess energy and improve focus through movement. Tennis also promotes social interaction, teaches impulse control, and enhances coordination skills. Reading (
A) may be challenging for a child with ADHD due to difficulties in sustained attention. Monopoly (
B) requires long periods of focus, which may be challenging for a child with ADHD. Checkers (
C) involves strategic thinking but may not provide enough physical activity.
Question 2 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: The correct answer is D: Teach the client to develop a plan for daily structured activities. This intervention addresses the symptoms of psychomotor retardation, hypersomnia, and amotivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can counteract the symptoms and improve functioning. Encouraging exercise (
A) may be beneficial, but developing a structured plan for daily activities is more directly targeted at addressing the specific symptoms presented. Developing a list of pleasurable activities (
B) may not provide the necessary structure and may not address the underlying issues contributing to the client's symptoms. Providing education on methods to enhance sleep (
C) may be helpful in addressing the hypersomnia symptom but may not fully address all aspects of the client's presentation.
Question 3 of 5
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
Correct Answer: D
Rationale: The correct answer is D: She should experience a reduction in hallucinations. First-generation antipsychotic medications are primarily used to treat positive symptoms of schizophrenia, such as hallucinations and delusions. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations. Memory problems (choice
A) are a common side effect of first-generation antipsychotics and are not expected to decrease. Depressive episodes (choice
B) are not directly treated by first-generation antipsychotics. Enjoying social interactions more (choice
C) is not a typical effect of these medications. In summary, the correct information to provide to the patient is that the medication should help reduce her hallucinations.
Question 4 of 5
Which student behavior is consistent with therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B - Summarizing the essence of the patient's comments in your own words. This is consistent with therapeutic communication as it demonstrates active listening and understanding of the patient's thoughts and feelings. Summarizing helps clarify and validate the patient's message, promoting trust and rapport.
Choice A is incorrect because offering your opinion may impose your beliefs on the patient instead of focusing on their needs.
Choice C is incorrect as interrupting silences can hinder the patient's processing or expression of emotions.
Choice D is incorrect as praising the patient's statements may not always be appropriate or genuine, potentially undermining the therapeutic relationship.
Question 5 of 5
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
Correct Answer: A
Rationale: The correct answer is A: Not sleeping for several days. This is the most important statement to explore because it indicates potential severe distress and disruption in the client's sleep patterns, which can have significant impacts on mental and physical health. Lack of sleep can exacerbate symptoms of depression and increase the risk of suicide. It is crucial for the RN to assess the severity of the sleep disturbance and intervene appropriately to ensure the client's safety and well-being.
The other choices (B, C,
D) are also important concerns, but not as urgent as the client's severe sleep disturbance. Wishing to be with the deceased spouse, lack of interest in usual activities, and eating very little are all common symptoms of grief and depression, but they do not pose an immediate risk to the client's health and safety compared to the potential consequences of severe sleep deprivation.