ATI RN
ATI n133 Mental Health Exam 1 Questions
Question 1 of 5
A nurse on a mental health unit enters the day room and observes a client hit another client. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Hitting others is unacceptable behavior. This response sets a clear boundary by addressing the behavior directly without making assumptions or accusations. It conveys the message that violence is not tolerated in a calm and non-confrontational manner. It also helps the nurse maintain a therapeutic relationship with the client by emphasizing the behavior rather than passing judgment on the individual.
Choices A, C, and D are incorrect because they either involve punitive measures, focus on disappointing others, or ask for justification without addressing the behavior itself.
Question 2 of 5
A nurse is caring for a client diagnosed with severe manifestations of schizophrenia and is prescribed haloperidol (Haldol) PRN for agitation. The nurse should recognize which of the following as adverse effects of haloperidol (Haldol)?
Correct Answer: C
Rationale: The correct answer is C: Dysrhythmias. Haloperidol is an antipsychotic medication that can prolong the QT interval, leading to dysrhythmias like torsades de pointes. This side effect is particularly concerning in clients with underlying cardiac conditions.
Choice A, bleeding, is not a common adverse effect of haloperidol. Pancreatitis (
Choice
B) is not typically associated with haloperidol use. Cataracts (
Choice
D) are not a known side effect of haloperidol. In summary, dysrhythmias are a potential adverse effect of haloperidol, while bleeding, pancreatitis, and cataracts are not commonly associated with this medication.
Question 3 of 5
A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator?
Correct Answer: C,E,F
Rationale:
Correct Answer: C, E, F
Rationale:
C: Aggressive communicators are often controlling during conversations, dominating the interaction.
E: They tend to blame others for misunderstandings as a way to avoid taking responsibility for their actions.
F: Aggressive communicators frequently interrupt others during conversation to assert dominance and control.
Incorrect
Choices:
A: Advocating for rights is assertive, not aggressive.
B: Seeking to avoid expressing personal opinions is more indicative of a passive communication style.
D: Being anxious about how the message will be received is more characteristic of a passive communicator.
Question 4 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: B
Rationale: The correct answer is B: Adopt a neutral attitude when providing care.
Rationale:
1. A neutral attitude helps build trust by not triggering the client's suspicions.
2. Being neutral conveys respect and non-judgmental approach, crucial for establishing rapport.
3. It allows the client to feel safe and respected, promoting a therapeutic relationship.
Incorrect choices:
A: Waiting for the client to initiate interaction may reinforce their suspicions and hinder relationship building.
C: Disclosing personal information may breach professional boundaries and create confusion for the client.
D: Frequent interactions may overwhelm the client and further increase suspicion.
Question 5 of 5
Two clients are in the garden disagreeing on which plant should go in the corner. One client says to the other,“I would really like to plant the sunflower.” The nurse recognizes this as which form of communication response pattern?
Correct Answer: D
Rationale: The correct answer is D: Assertive. In this scenario, the client clearly expresses their preference for planting the sunflower in a direct, honest, and respectful manner. Assertive communication involves confidently expressing one's thoughts, feelings, and needs while respecting the rights of others. This response pattern promotes effective communication and helps in resolving conflicts constructively.
A: Passive-Aggressive - This choice does not apply as the client is not indirectly expressing their disagreement or anger.
B: Aggressive - This choice does not apply as the client is not being hostile or attacking the other client.
C: Nonassertive - This choice does not apply as the client is not avoiding expressing their preference or being passive.