ATI RN
Mental Health ATI Book Questions
Question 1 of 5
A nurse is providing dietary teaching for a client who has hepatic encephalopathy. Which of the following food selections indicates that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: Rice with black beans. This choice is correct because it is a high-fiber, plant-based meal that is low in protein, which is important for a client with hepatic encephalopathy. Rice and black beans provide complex carbohydrates and fiber, aiding in ammonia detoxification without increasing protein intake. The other choices are incorrect because:
A: A sandwich and milkshake are high in protein and may exacerbate hepatic encephalopathy.
C: Cottage cheese and tuna lettuce are high in protein, which can lead to increased ammonia production.
D: Three-egg omelette with low-sodium ham is high in protein, which is not recommended for clients with hepatic encephalopathy.
Question 2 of 5
Allowing the client to take the initiative in introducing the topic is to"broad opening" as the nurse's making self-available and presenting emotional support is to:
Correct Answer: B
Rationale: The correct answer is B, "Offering self." This is because when a nurse makes themselves available and provides emotional support, they are offering their presence and support to the client, showing empathy and readiness to assist. This approach helps build a therapeutic relationship and provides a safe space for the client to express their feelings.
Now, let's analyze the other choices:
A: "Focusing" involves directing the conversation to a specific topic or issue, which is different from providing emotional support.
C: "Restating" is a technique used to clarify and confirm understanding of the client's message, not necessarily providing emotional support.
D: "Giving recognition" involves acknowledging the client's efforts or progress, which is not the same as offering emotional support.
In summary, "Offering self" is the most appropriate choice as it aligns with the nurse's role in providing emotional support and being present for the client in a therapeutic manner.
Question 3 of 5
A nurse is working with a client who is addicted to heroin. The nurse engages in harm reduction by teaching the client about which of the following?
Correct Answer: A
Rationale: The correct answer is A: Using bleach solution to disinfect dirty needles. This is an important harm reduction strategy for individuals addicted to heroin as it helps reduce the risk of infections such as HIV and hepatitis. It is crucial for the nurse to educate the client on safe needle hygiene practices to prevent further health complications.
Choices B, C, and D are incorrect as problem solving, healthy coping skills, and naltrexone are not directly related to harm reduction strategies specifically for heroin addiction.
Question 4 of 5
A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first?
Correct Answer: B
Rationale: The correct answer is B: Lower the patient's current anxiety. This is the first step because a patient experiencing severe anxiety may not be able to focus on learning coping strategies until their anxiety is reduced. It is essential to address the immediate issue of anxiety to create a conducive environment for learning.
Incorrect choices:
A: Verify the patient's learning style - While understanding the patient's learning style is important, it is not the priority when the patient is in a state of severe anxiety.
C: Create outcomes and a teaching plan - Developing outcomes and a teaching plan should come after addressing the immediate anxiety to ensure the patient can engage effectively in the learning process.
D: Assess how the patient uses defense mechanisms - While understanding defense mechanisms is relevant, it is not the primary concern when the patient is in a state of severe anxiety.
Question 5 of 5
Which factor has the greatest influence on the hospice nurse's ability to provide respectful professional care?
Correct Answer: A
Rationale: The correct answer is A: Acceptance that death is a natural part of life. This factor is crucial for hospice nurses as it enables them to approach end-of-life care with compassion and understanding. By accepting death as a natural process, the nurse can provide respectful care without fear or denial. Possessing excellent nursing skills (
B) is important but not as impactful as having the right mindset towards death. A healthy personal life (
C) can contribute to overall well-being but may not directly impact the nurse's ability to provide respectful care. While the desire to work with both the patient and family (
D) is important, it is the acceptance of death that underpins the nurse's ability to provide professional care in the hospice setting.