ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I'll just sit here with you for a few minutes then." This response demonstrates empathy and support without imposing solutions or pressuring the client to talk. It acknowledges the client's feelings and offers companionship, which can provide comfort and reassurance.
Choice A may pressure the client to talk, which may not be what the client needs at the moment.
Choice C shifts the focus to the nurse's own experiences, which may not be helpful for the client.
Choice D may come across as confrontational or dismissive of the client's emotions.
Therefore, choice B is the most appropriate response in this situation.
Question 2 of 5
A nurse is caring for a client whose partner is requesting to bring the client food from home that is not allowed in the client's dietary plan. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "Let's try to find ways to incorporate your partner's favorite food into her diet plan." This response acknowledges the partner's desire to bring food from home while also emphasizing the importance of adhering to the client's dietary plan for recovery. By suggesting a compromise to incorporate the favorite food within the diet plan, the nurse is promoting collaboration and patient-centered care. It shows understanding and empathy towards the partner's concerns while prioritizing the client's health and recovery.
Choice A is incorrect as it may come off as judgmental and dismissive.
Choice B is not the most appropriate response as it doesn't address the partner's request directly.
Choice C is incorrect as it may sound like a blanket statement and could potentially create tension between the nurse and the partner.
Question 3 of 5
A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?
Correct Answer: C
Rationale: The correct answer is C: Identify cues in the client's behavior that might have warned them that he was contemplating suicide. This is the priority intervention because understanding the warning signs can help prevent future suicides by recognizing and addressing high-risk behaviors. Providing counseling (
A) is important but not the immediate priority. Changing policies (
B) may be necessary in the long term but does not address the current situation. Giving the family an opportunity to talk (
D) is important for support but does not directly address staff intervention.
Question 4 of 5
A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because keeping the provider's and therapist's number with the client is crucial for quick access to support during a potential relapse. This step promotes timely intervention and communication with the healthcare team, which can help prevent escalation of symptoms. Option A is incorrect because excessive sleeping may not be a universal early sign of relapse for all individuals with schizophrenia. Option B is incorrect because relapse can occur despite proper medication adherence. Option D is incorrect because self-medicating without healthcare provider guidance can be dangerous and may worsen symptoms.
Question 5 of 5
A nurse is caring for an adolescent client who has conduct disorder. The client reports that she has received five speeding tickets in the past 6 months. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Make a contract with the client not to drive over the speed limit. This intervention is appropriate as it establishes clear boundaries and expectations for the client's behavior, addressing the issue of multiple speeding tickets. By creating a contract, the nurse can work with the client to set specific goals and consequences for adhering to the speed limit. This method promotes accountability and helps the client understand the importance of safe driving practices.
Other choices are incorrect:
B: Calling the local police would breach confidentiality and trust, which is not ethical.
C: Taking away the client's keys may be seen as punitive and could lead to resistance or defiance.
D: While important, the issue of drinking and driving is not directly related to the client's speeding tickets.