ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
Which intervention should a nurse prioritize when caring for a client with alcohol use disorder?
Correct Answer: B
Rationale: The correct answer is B: Providing adequate hydration and rest. This intervention is crucial because individuals with alcohol use disorder often experience dehydration and fatigue due to excessive alcohol consumption. Hydration helps to flush out toxins and restore electrolyte balance, while rest supports physical and mental recovery. Helping the client identify positive personality traits (
A) may be beneficial in building self-esteem but is not as urgent as addressing physical needs. Confronting denial and defense mechanisms (
C) may lead to resistance and hinder the therapeutic relationship. Educating the client about alcohol misuse (
D) is important but should be done after addressing immediate physical needs.
Question 2 of 5
How should a nurse address compulsive behaviors in a newly admitted client with OCD?
Correct Answer: D
Rationale:
Correct
Answer: D. Set strict limits on behaviors
Rationale:
1. Setting strict limits helps establish boundaries and structure for the client.
2. It assists in reducing compulsive behaviors by providing clear guidelines.
3. It promotes a sense of control and safety for the client.
4. Allows for gradual exposure and response prevention therapy.
Summary:
A: Isolating the client can exacerbate feelings of loneliness and increase anxiety.
B: Confrontation may trigger defensiveness and hinder therapeutic rapport.
C: While group activities can be beneficial, they may not directly address the compulsive behaviors.
E: Allowing additional time for rituals reinforces maladaptive behaviors.
Question 3 of 5
Which action is most therapeutic for a client with panic-level anxiety?
Correct Answer: B
Rationale: The correct answer is B: Remain with the client. This is the most therapeutic action because it provides immediate reassurance and support to the client, helping to reduce feelings of isolation and fear during a panic attack. By staying with the client, you can offer comfort and help them feel safe and supported.
Choice A is incorrect as suggesting the client rest in bed may not address their immediate needs during a panic attack.
Choice C, medicating the client with a sedative, may provide short-term relief but does not address the underlying causes of the anxiety.
Choice D, having the client join a therapy group, is not suitable during a panic attack as the client needs immediate support and intervention.
Question 4 of 5
A client awaiting surgery expresses fear of having cancer. Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings and shows empathy. By saying, "I hear that you are concerned about this," the nurse validates the client's emotions and creates a supportive environment.
Choice A is incorrect as it may come off as dismissive.
Choice B is inappropriate as it invalidates the client's fear.
Choice C passes the responsibility back to the client's provider instead of addressing the immediate concern.
Question 5 of 5
Where should a nurse assign a client experiencing manic behavior?
Correct Answer: B
Rationale: The correct answer is B: Private room in a quiet location. This choice is appropriate because a client experiencing manic behavior requires a calm and quiet environment to minimize stimulation and help reduce agitation. Placing the client in a private room can provide the necessary space for the client to calm down and prevent potential triggers for further manic episodes.
Other choices are incorrect:
A: A semi-private room across from the day room may expose the client to increased noise and activity, which can exacerbate manic behavior.
C: A semi-private room across from the snack area may lead to distractions and potential interactions that can escalate the manic behavior.
D: A shared room near the nursing station may not offer the privacy and quiet environment needed for a client experiencing manic behavior to stabilize.