ATI RN
ATI RN Mental Health Online Practice 2023 A Questions
Question 1 of 5
Which of the following would be most important for the nurse to keep in mind when establishing the nurse-patient relationship with a client with schizophrenia to promote recovery?
Correct Answer: C
Rationale: The correct answer is C because short, time-limited interactions are best for clients experiencing psychosis due to their limited attention span and potential for increased anxiety. Lengthy interactions may overwhelm the client and hinder the development of trust and rapport.
A: The relationship typically develops over a short period of time - Incorrect. Building a therapeutic relationship with a client with schizophrenia takes time due to trust issues and symptom severity.
B: Decisions about care are the responsibility of interdisciplinary team - Incorrect. While involving the interdisciplinary team is important, the nurse-patient relationship is crucial in promoting recovery.
D: Typically, clients with schizophrenia readily engage in a therapeutic relationship - Incorrect. Clients with schizophrenia may have difficulties in engaging due to symptoms such as paranoia and disorganized thinking.
Question 2 of 5
A nurse is obtaining the medical history of a client who has a new prescription for isosorbide mononitrate. Which of the following should the nurse identify as a contraindication to medication?
Correct Answer: A
Rationale: The correct answer is A: Glaucoma. Isosorbide mononitrate is contraindicated in patients with glaucoma due to the potential for worsening of intraocular pressure. Glaucoma is a condition where the optic nerve is damaged due to increased intraocular pressure, and isosorbide mononitrate can further elevate intraocular pressure.
Choices B, C, and D are incorrect as hypertension, polycythemia, and migraine headaches are not contraindications for isosorbide mononitrate.
Question 3 of 5
The nurse is working with the family of a patient with obsessive-compulsive disorder (OCD). Which concept should the nurse incorporate in the teaching plan?
Correct Answer: C
Rationale: The correct answer is C because OCD symptoms typically worsen with stress due to increased anxiety triggering obsessions and compulsions. This understanding is crucial for the family to help manage the condition effectively. Option A is incorrect because thoughts in OCD are intrusive and involuntary. Option B is incorrect as immediate attention may reinforce the symptoms. Option D is incorrect as OCD can respond well to treatment approaches like therapy and medication.
Question 4 of 5
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B because it reflects active listening and empathy by summarizing the patient's statement. This statement shows the nurse's attempt to understand the patient's perspective on life's meaning.
Choice A is about the nurse's own thought process, not reflecting the patient's feelings.
Choice C shows uncertainty, not reflective listening.
Choice D is an observation, not reflective of the patient's emotions or thoughts.
Question 5 of 5
While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the 4-year-old sister which of the following about her brother?
Correct Answer: A
Rationale: The correct answer is A because it is important for children to be given clear and honest information about death to help them process their grief effectively. This choice provides the 4-year-old sister with a direct and simple explanation of her brother's death, which can help her understand the permanence of the situation.
Choices B, C, and D use euphemisms or abstract concepts that may confuse or mislead the child, potentially causing more distress or misunderstanding. It is crucial to be honest and straightforward with children about death to support their emotional well-being.