ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
Correct Answer: A
Rationale: The correct answer is A: Decrease anxiety. The repetitive cleaning behavior in OCD is a manifestation of the client's attempt to reduce anxiety caused by intrusive thoughts or obsessions. This behavior provides temporary relief from anxiety by creating a sense of control.
Choice B is incorrect because OCD cleaning behaviors are not primarily aimed at preventing aggressive or impulsive behaviors.
Choice C is incorrect as the cleaning behavior is not typically a form of manipulation.
Choice D is incorrect as the primary goal of the behavior is not to decrease interaction time but to manage anxiety.
Question 2 of 5
A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Constipation. In anorexia nervosa, a lack of adequate nutrition intake can lead to decreased gastrointestinal motility, resulting in constipation. Tachycardia (
A) is common due to the body's response to malnutrition. Menorrhagia (
C) is unlikely as anorexia nervosa often leads to amenorrhea. Hyperkalemia (
D) is less likely as potassium levels tend to be low due to decreased food intake.
Question 3 of 5
A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It's okay to feel scared. Let's talk about what you are afraid of." This response shows empathy and acknowledges the client's feelings, which is an essential aspect of therapeutic communication. By inviting the client to talk about her fears, the nurse creates a safe space for the client to express her emotions and concerns. This can help alleviate anxiety and build trust between the client and the nurse.
Choices B, C, and D are incorrect because they do not directly address the client's emotional state or offer support. B focuses on smoking cessation, which may not be the immediate concern for the client undergoing surgery. C shifts the focus to the nurse's personal experience, which may detract from the client's needs. D dismisses the client's fears and offers reassurance without addressing the underlying emotions.
Question 4 of 5
A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?
Correct Answer: A
Rationale: The correct answer is A: Promote appropriate behavior during group therapy sessions. For a client with histrionic personality disorder, the priority intervention is to establish boundaries and promote appropriate behavior to ensure a therapeutic environment. This is crucial in managing attention-seeking behaviors and maintaining focus on the therapeutic goals. Encouraging client input in the treatment plan (
B) is important but not the priority at this stage. Communicating with concrete language (
C) may be helpful but does not address the immediate need for behavior management. Demonstrating assertive behavior (
D) is not the priority as it may escalate the situation.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C - Ask the client direct questions about the hallucination. This approach helps the nurse understand the client's experience without validating or denying the hallucination. It shows empathy and promotes trust.
Choice A would validate the hallucination, worsening the client's condition.
Choice B could escalate the situation by encouraging confrontation with the voices.
Choice D may cause the client to feel dismissed or judged. Asking direct questions (
C) allows the nurse to gather information, assess the client's safety, and provide appropriate care.