ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
Which patient is at the highest risk of developing postpartum depression?
Correct Answer: C
Rationale: The correct answer is C - a mother with a history of depression and minimal social support is at the highest risk of developing postpartum depression. This is because having a history of depression increases the likelihood of experiencing postpartum depression. Additionally, minimal social support can exacerbate feelings of isolation and overwhelm, contributing to the development of postpartum depression.
A: A mother who had a healthy pregnancy and delivery may still develop postpartum depression due to various factors, but it is not the highest risk factor.
B: A first-time mother with a supportive partner may have lower risk compared to other options, as having social support can be protective against postpartum depression.
D: A mother with no family history of mental illness may still develop postpartum depression based on other risk factors, but it is not the highest risk factor.
Question 2 of 5
A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient closely for signs of mania. Fluoxetine, an antidepressant, can potentially trigger manic episodes in patients with bipolar disorder. Monitoring for signs of mania is crucial to prevent worsening of symptoms and ensure timely intervention. Option A is not the priority as gastrointestinal side effects are common but less urgent. Option C is assuming the medication is safe without considering the patient's specific condition. Option D is important but not the priority.
Question 3 of 5
A client who has bipolar disorder approaches the nurse and reveals fresh,self-inflicted,superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Inspect the cuts for debris. The nurse should first assess the client's physical well-being to ensure there is no immediate danger or risk of infection. Inspecting the cuts for debris is crucial to prevent infection and assess the severity of the self-inflicted wounds. Documenting the size and location of the cuts (choice
A) can be done after ensuring the wounds are clean. Administering a tetanus antitoxin (choice
C) is not necessary unless there is evidence of contamination with soil or rust. Implementing the client's behavioral modification plan (choice
D) is important but not the priority when the client's physical health is at risk.
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: C
Rationale: The correct answer is C: Threatening behaviors. Severe anxiety can lead to aggressive or threatening behaviors as a result of feeling overwhelmed or unable to cope. This can be a manifestation of the fight-or-flight response triggered by intense anxiety. The other choices are incorrect because attention-seeking conduct (
A) is more commonly associated with personality disorders, mild fidgeting (
B) may indicate mild anxiety but not severe anxiety, and mild difficulty problem solving (
D) is a cognitive manifestation that is less likely to be prominent in cases of severe anxiety.
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: D
Rationale: The correct answer is D: Plan the client's schedule to allow time for rituals. For clients with OCD, rituals provide a sense of control and comfort. Allowing time for these rituals in the schedule can help prevent distress and agitation. Isolating the client (
A) can worsen symptoms. Setting strict limits (
B) may increase anxiety. Confronting the client (
C) can be counterproductive as it may lead to defensiveness and resistance.
Therefore, planning the schedule to accommodate rituals (
D) is the most appropriate approach.