ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment?
Correct Answer: B
Rationale: The correct answer is B: Sleep at least 6 hours a night. Adequate sleep is crucial in the management of depression as it can improve mood, cognition, and overall functioning. Lack of sleep can exacerbate depressive symptoms. Addressing sleep disturbance early can lead to an improvement in the client's overall well-being. Meeting with a dietitian (choice
A) may be important for addressing weight loss but is not as urgent as improving sleep. Understanding the purpose of the medication regimen (choice
C) is important for long-term treatment adherence but may not be the priority within the first three days. Describing the reasons for hospitalization (choice
D) is not directly related to the immediate treatment goal of addressing sleep disturbance.
Question 2 of 5
When preparing to administer to domestic violence screening tool to a female client, which statement should the RN provide?
Correct Answer: D
Rationale: The correct answer is D. By stating that all clients are screened for domestic abuse because it is common in society, the nurse normalizes the screening process and reduces stigma. This approach can help the client feel more comfortable disclosing abuse.
Choice A may inadvertently imply that the client's partner is abusing them, potentially leading to a defensive response.
Choice B may make the client feel obligated to disclose abuse due to legal reasons, which can feel coercive.
Choice C is vague and may not convey the importance of screening for domestic violence.
Question 3 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide?
Correct Answer: B
Rationale: The correct answer is B: "I can hear that your sister's comments are overwhelming you." This response acknowledges the client's feelings and shows empathy, validating her experience. It demonstrates active listening and understanding without judgment.
Choice A dismisses the client's feelings, which can be harmful.
Choice C may come off as accusatory and may make the client defensive.
Choice D shifts the focus away from the client's emotions, missing an opportunity for therapeutic communication.
Question 4 of 5
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during the working phase of group development?
Correct Answer: C
Rationale: The correct answer is C: Discussing ways to use new coping skills learned. During the working phase of group development, the focus is on implementing and practicing new skills and strategies. This helps group members apply what they have learned to their real-life situations. By discussing ways to use new coping skills, the RN is facilitating the group's progress towards achieving their therapeutic goals.
A: Establishing a rapport with group members is important in the initial phase of group development, not during the working phase.
B: Clarifying the nurse’s role and clients’ responsibilities is more relevant to the orientation phase, not the working phase.
D: Helping clients identify areas of problem in their lives is typically done in the initial assessment phase, not during the working phase.
Question 5 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
Correct Answer: C
Rationale: The correct answer is C: Avoid recognizing the behavior. Echolalia is the repetition of words or phrases spoken by others, common in schizophrenia. By not reinforcing or acknowledging the behavior, the client may eventually stop. Isolating the client (
Choice
A) may lead to feelings of rejection. Administering a sedative (
Choice
B) may not address the underlying behavior. Escorting the client to his room (
Choice
D) does not address the echolalia directly.