ATI RN
ATI RN Mental Custom Health Next Gen Questions
Question 1 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide?
Correct Answer: B
Rationale: The correct answer is B: "I can hear that your sister's comments are overwhelming you." This response acknowledges the client's feelings and shows empathy, validating her experience. It demonstrates active listening and understanding without judgment.
Choice A dismisses the client's feelings, which can be harmful.
Choice C may come off as accusatory and may make the client defensive.
Choice D shifts the focus away from the client's emotions, missing an opportunity for therapeutic communication.
Question 2 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: B
Rationale: The correct answer is B: Teach the client to develop a plan for daily structured activities. This intervention is most effective because it addresses the symptoms of psychomotor retardation, hypersomnia, and lack of motivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can improve mood and motivation. Providing education on sleep methods (
A) may help with hypersomnia but may not address overall functioning. Developing a list of pleasurable activities (
C) can be beneficial, but structured activities are more likely to improve functioning. Encouraging exercise (
D) can be helpful but may be challenging for someone with psychomotor retardation.
Question 3 of 5
Child protective services have removed 10-year-old Christopher from his parents’ home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: The correct answer is C: Resilience. This is because Christopher's ability to form a positive relationship with the woman next door, his love for school, and above-average grades despite experiencing neglect indicate his resilience. Resilience refers to the capacity to adapt positively in the face of adversity. Christopher's behavior shows his ability to thrive despite challenging circumstances, emphasizing his resilience.
Choices A, B, and D do not fully capture Christopher's ability to overcome adversity. Temperament (
A) refers to inherent personality traits, genetic factors (
B) focus on biological influences, and paradoxical effects of neglect (
D) do not directly address Christopher's ability to cope and thrive.
Question 4 of 5
Which student behavior is consistent with therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B: Summarizing the essence of the patient's comments in your own words. This behavior is consistent with therapeutic communication as it shows active listening and understanding of the patient's feelings and thoughts. By summarizing, the healthcare provider demonstrates empathy and helps clarify any misunderstandings.
A: Offering your opinion when asked to convey support may not always align with therapeutic communication, as it can shift the focus from the patient to the provider's perspective.
C: Interrupting periods of silence before they become awkward for the patient can disrupt the patient's thought process and hinder open communication.
D: Telling the patient he did well when you approve of his statements or actions may come across as judgmental and can limit the patient's ability to express themselves fully.
Question 5 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale: The correct answer is A: Set a specific limit on the number of times the client can check the door. This intervention helps establish boundaries and structure for the client, which can assist in reducing compulsive behaviors. By setting a specific limit, the client is encouraged to gradually decrease the checking behavior and learn to cope with the anxiety associated with uncertainty. This approach promotes independence and empowerment for the client.
Choice B is incorrect because finding an alternative activity does not directly address the obsessive checking behavior.
Choice C is incorrect as providing consistent reassurance reinforces the compulsive behavior.
Choice D is incorrect because ignoring the behavior does not actively address or help decrease the compulsive checking.