ATI RN
ATI Mental Health
1. Which of the following symptoms shouldn't one expect to assess in a client diagnosed with major depressive disorder?
- A. Loss of interest or pleasure
- B. Decreased ability to concentrate
- C. Significant weight loss or gain
- D. Increased energy
Correct answer: D
Rationale: Symptoms commonly associated with major depressive disorder include a loss of interest or pleasure, decreased ability to concentrate, significant weight loss or gain, and feelings of worthlessness or excessive guilt. Increased energy is not a typical symptom of major depressive disorder; individuals with this condition often experience fatigue rather than increased energy.
2. When assessing a client with bipolar disorder who is experiencing a depressive episode, which of the following findings should the nurse not expect?
- A. Low energy
- B. Feelings of hopelessness
- C. Insomnia or hypersomnia
- D. Difficulty concentrating
Correct answer: D
Rationale: In a client experiencing a depressive episode in bipolar disorder, common findings include low energy, feelings of hopelessness, insomnia or hypersomnia, and decreased appetite. Difficulty concentrating is more indicative of attention deficit disorders or cognitive impairment rather than a typical presentation of a depressive episode in bipolar disorder.
3. Which of the following interventions should not be included in the care plan for a client with major depressive disorder?
- A. Encourage participation in activities
- B. Promote adequate nutrition and hydration
- C. Discourage verbalization of feelings
- D. Monitor for suicidal ideation
Correct answer: C
Rationale: Interventions for a client with major depressive disorder should focus on promoting activities, adequate nutrition, hydration, and monitoring for suicidal ideation. Verbalizing feelings is a crucial part of therapy for clients with depression as it helps in processing emotions and seeking support. Therefore, discouraging verbalization of feelings is not appropriate and goes against therapeutic principles.
4. A client with major depressive disorder is prescribed an antidepressant. Which of the following instructions should the nurse exclude from the teaching?
- A. It may take several weeks for the medication to take effect
- B. Avoid alcohol while taking this medication
- C. Discourage the client from washing her hands
- D. You may experience an increase in energy before your mood improves
Correct answer: C
Rationale: The nurse should not include the instruction to discourage the client from washing her hands in the teaching for a client prescribed an antidepressant. This instruction is not relevant to the medication regimen. Instead, the nurse should educate the client that it may take several weeks for the medication to take effect, to avoid alcohol, not to discontinue the medication abruptly, and that there may be an increase in energy before mood improves. Regular blood tests are not typically required for most antidepressants.
5. Which of the following is an uncommon symptom of schizophrenia?
- A. Delusions
- B. Fatigue
- C. Disorganized speech
- D. Catatonia
Correct answer: B
Rationale: Common symptoms of schizophrenia include delusions, hallucinations, disorganized speech, and catatonia. Fatigue is not typically considered a direct symptom of schizophrenia. It is important to focus on symptoms directly related to the disorder when identifying schizophrenia.
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