ATI RN
ATI n133 Mental Health Exam 1 Questions
Question 1 of 5
A nurse is developing a care plan for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Limit the number of questions asked during assessments. This is important because excessive questioning can exacerbate the client's paranoia and hallucinations. By limiting questions, the nurse can reduce the client's stress and help maintain a therapeutic environment.
A: Directly telling the client that the delusions are not real may cause distress and may not be effective in changing the client's beliefs.
B: Using frequent touch may not be appropriate for all clients and may not address the underlying issues of hallucinations and delusions.
C: Placing the client in seclusion for visual hallucinations can be traumatic and should only be used as a last resort for safety reasons.
E, F, G: No additional options provided.
Question 2 of 5
A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures?
Correct Answer: D
Rationale: The correct answer is D: Nurses should focus on clients' cultures, rather than their ethnicity, when providing care. This is because culture encompasses a broader range of beliefs, values, practices, and behaviors than just ethnicity. By focusing on clients' cultures, nurses can better understand and respect their unique perspectives, preferences, and needs. It allows for individualized and culturally sensitive care, promoting effective communication, trust, and positive health outcomes.
A: Nonverbal communication is important in all cultures - While nonverbal communication is indeed important, this choice does not directly address the significance of focusing on clients' cultures in providing care.
B: Culture plays a significant role in determining when a client will seek medical care - This choice is partially correct, but it does not emphasize the importance of understanding and respecting clients' cultures in providing care.
C: Nurses should not expect clients to adapt to the care provided regardless of culture - This choice focuses on client adaptation rather than the nurse's role in understanding and
Question 3 of 5
While in a therapeutic group,two clients get into a heated debate over politics that turns aggressive. The nurse makes the decision to have both patients removed from the group session. The nurse has demonstrated which leadership style?
Correct Answer: C
Rationale: The correct answer is C: Autocratic. The nurse demonstrated an autocratic leadership style by making the decision unilaterally to remove both clients from the group session. This style involves making decisions without input from others, which can be effective in crisis situations to maintain control and ensure safety. The other choices are incorrect because: A: Bureaucratic involves following rules and procedures, not necessarily making quick decisions in a crisis. B: Democratic would involve seeking input from the group before making a decision. D: Laissez-faire would involve allowing the clients to continue the debate without intervention.
Question 4 of 5
A client diagnosed with end-stage renal disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "at least not in the immediate future." This response acknowledges the client's fear while providing reassurance that the risk of dying from a heart attack is not imminent. It validates the client's feelings and offers a realistic perspective.
Choice A deflects responsibility to the physician without addressing the client's emotional needs.
Choice B is dismissive and invalidates the client's fear.
Choice D is a good open-ended response but does not provide immediate reassurance.
Question 5 of 5
A nurse is planning care for a group of clients on a mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?
Correct Answer: A
Rationale: The correct answer is A: Provide continuity of care by assigning the same staff. This creates a therapeutic environment by promoting consistency, trust, and familiarity for clients. It allows for better rapport building and understanding of individual client needs.
Choice B is incorrect as discussing any topic may not always be therapeutic or appropriate.
Choice C is incorrect as setting clear boundaries is essential for a healthy nurse-client relationship.
Choice D is not specific to creating a therapeutic environment.