ATI RN
ATI NURS 4850 Mental Health Questions
Question 1 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed,wearing clean clothes and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D. This response acknowledges the client's effort in grooming without making assumptions about their mental state. It provides positive reinforcement for the client's self-care behavior.
Choice A may imply a causal link between grooming and recovery, potentially setting unrealistic expectations.
Choice B generalizes feelings and does not directly address the client's actions.
Choice C may suggest skepticism or surprise, which could make the client feel self-conscious.
Question 2 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client’s compulsive behaviors?
Correct Answer: A
Rationale:
Correct Answer: A. Plan the client’s schedule to allow time for rituals.
Rationale: It is important to understand that individuals with OCD often find comfort in their rituals and routines. By planning the client's schedule to incorporate time for these rituals, the nurse can help reduce the client's anxiety and promote a sense of control. This approach acknowledges the client's needs and fosters a therapeutic environment.
Incorrect
Choices:
B. Isolating the client may worsen their symptoms by increasing feelings of loneliness and distress.
C. Confronting the client about the senseless nature of their behaviors can lead to increased anxiety and resistance to treatment.
D. Setting strict limits may cause the client to feel overwhelmed and may exacerbate their symptoms.
Question 3 of 5
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Correct Answer: A
Rationale: The correct answer is A: Separates easily from primary caregiver for short periods of time.
Toddlers typically begin to exhibit a level of independence and are able to separate from their primary caregiver without excessive distress. This is a key developmental task as they start to explore their environment and build self-confidence.
Choices B, C, and D are incorrect as they are not typically expected tasks for toddlers.
Toddlers are still developing their understanding of right and wrong, may not have the attention span or cognitive ability to explain the difference between right and wrong (choice
B). While toddlers can participate in simple tasks, such as putting toys away, they may not fully cooperate in doing simple chores (choice
C). Printing letters and numbers (choice
D) involves more fine motor skills and cognitive abilities that are typically developed later in childhood.
Question 4 of 5
A nurse is counseling a client for the management of anxiety. The client is consistently late for appointments and ignores household chores. The client states,“I’m just too stressed. I need someone to take care of me.” The nurse identifies this behavior as an example of which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Regression. Regression is a defense mechanism where an individual reverts to an earlier, less mature stage of development to cope with stress. In this scenario, the client is displaying behavior typical of a child who needs caretaking when feeling overwhelmed, such as being consistently late and avoiding responsibilities. Repression (
A) involves blocking out unpleasant thoughts or memories, which is not evident here. Introjection (
B) involves internalizing the beliefs of others, not applicable in this situation. Dissociation (
C) is a disconnection from reality to avoid distress, which is not demonstrated in the client's behavior.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following strategies should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Set clear and consistent boundaries. This is essential for clients with borderline personality disorder to establish a sense of safety and security. Setting boundaries helps maintain a therapeutic relationship and promotes predictability, reducing emotional dysregulation. Encouraging impulsive decisions (
A) can exacerbate symptoms. Avoiding discussing past traumas (
C) hinders therapeutic progress. Allowing the client to miss therapy sessions (
D) can disrupt treatment continuity.