ATI Mental Health Proctored Exam 2019

ATI Mental Health Proctored Exam 2019 Related

Review ATI Mental Health Proctored Exam 2019 related questions and content

When caring for a client with anorexia nervosa in a psychiatric unit, which intervention should the nurse implement to address the client's nutritional needs?

  • A. Provide small, frequent meals throughout the day.
  • B. Monitor the client's weight daily.
  • C. Offer a liquid supplement if the client refuses solid food.
  • D. Encourage the client to choose from a variety of food options.
Correct Answer: A

Rationale: Providing small, frequent meals throughout the day is a crucial intervention when caring for a client with anorexia nervosa. This approach helps in gradually increasing caloric intake and meeting the client's nutritional needs. Offering large meals can be overwhelming and may contribute to anxiety in these clients. By providing small, frequent meals, the nurse supports the client in establishing a healthier eating pattern and aids in the restoration of adequate nutrition levels. Monitoring the client's weight daily (Choice B) may exacerbate anxiety related to body image and weight, which are common concerns in anorexia nervosa. Offering a liquid supplement if the client refuses solid food (Choice C) may not address the underlying issues related to food aversion and may not provide the necessary nutrients in a balanced way. Encouraging the client to choose from a variety of food options (Choice D) may be overwhelming for someone with anorexia nervosa and could lead to increased anxiety around food choices.

You may also like to solve these questions

A client with borderline personality disorder exhibits self-mutilating behavior. Which nursing intervention should the nurse implement to address this behavior?

  • A. Encourage the client to discuss underlying issues.
  • B. Set firm limits on the client's behavior.
  • C. Provide a safe environment to prevent self-harm.
  • D. Discuss the consequences of self-mutilating behavior.
Correct Answer: C

Rationale: The correct intervention when dealing with a client exhibiting self-mutilating behavior, especially with borderline personality disorder, is to provide a safe environment to prevent self-harm. This approach is crucial in ensuring the client's physical safety and well-being. Setting firm limits may be appropriate in some situations, but the immediate priority is to prevent self-harm. Encouraging the client to discuss underlying issues and discussing consequences are important aspects of therapy; however, in the case of acute self-mutilating behavior, the primary focus should be on creating a safe environment to prevent harm.

A client with generalized anxiety disorder is prescribed buspirone. Which statement by the client indicates a need for further teaching?

  • A. I can stop taking this medication once I feel less anxious.
  • B. I should avoid drinking alcohol while taking this medication.
  • C. It may take several weeks for this medication to take full effect.
  • D. This medication can cause dependency.
Correct Answer: A

Rationale: The correct answer is A because it indicates a misunderstanding about buspirone. Buspirone should not be abruptly stopped, and patients should follow the prescribed regimen consistently. Stopping the medication without proper guidance can lead to adverse effects or a return of anxiety symptoms. Choices B, C, and D demonstrate an understanding of important aspects of buspirone therapy: avoiding alcohol due to interactions, being patient for the medication to reach full effectiveness, and being aware of the potential for dependency with this medication.

Which of the following interventions is most appropriate for a client experiencing severe anxiety?

  • A. Encourage the client to talk about their feelings.
  • B. Provide a quiet and calm environment.
  • C. Encourage the client to exercise vigorously.
  • D. Encourage the client to participate in group activities.
Correct Answer: B

Rationale: In cases of severe anxiety, creating a quiet and calm environment is crucial as it can help reduce stimulation and promote relaxation. This environment can provide a sense of safety and security, which are essential for individuals experiencing heightened anxiety levels. Encouraging the client to talk about their feelings may not be suitable during severe anxiety as it can further escalate distress by focusing on the source of anxiety. Vigorous exercise and group activities may not be appropriate initially, as they can increase arousal levels rather than promoting a sense of calm needed to manage severe anxiety.

When evaluating a client's progress in psychotherapy, which outcome is appropriate for the client?

  • A. The client will identify triggers for anxiety.
  • B. The client will develop coping strategies.
  • C. The client will decrease avoidance behaviors.
  • D. The client will express feelings of anger.
Correct Answer: A

Rationale: In psychotherapy, identifying triggers for anxiety is a crucial step towards understanding and managing one's anxiety symptoms. By recognizing these triggers, clients can work on developing coping strategies and addressing the root cause of their anxiety, leading to improved mental health outcomes. Decreasing avoidance behaviors and expressing feelings of anger are also important aspects of therapy. However, identifying triggers for anxiety is a more specific and foundational goal in addressing anxiety disorders, making it the most appropriate outcome to evaluate a client's progress in psychotherapy.

A client experiencing a manic episode is talking rapidly and jumping from one topic to another. Which term describes this symptom?

  • A. Circumstantiality
  • B. Flight of ideas
  • C. Tangentiality
  • D. Perseveration
Correct Answer: B

Rationale: In a manic episode, 'Flight of ideas' is characterized by rapid speech, where the individual moves quickly between topics without a clear connection. This symptom reflects the racing thoughts and impulsivity often seen in manic episodes. Circumstantiality refers to unnecessary detail and delay in getting to the point, tangentiality involves going off on a tangent or unrelated topics, and perseveration is the persistent repetition of a response or behavior. Therefore, 'Flight of ideas' best describes the symptom of rapidly changing topics during a manic episode.

Copyright © 2025 Nokea. All rights reserved.