ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 of 5
A Native American client is admitted to an emergency department (ED) with an ulcerated toe secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Cultural Competence: In respecting the client's cultural beliefs and practices, it is essential to honor the request for a shaman's presence. 2. Collaboration: By assisting the client in contacting a shaman, the nurse promotes collaboration between traditional healing methods and medical interventions. 3. Trust Building: Respecting the client's request fosters trust and rapport, which are crucial for effective communication and care. 4. Patient-Centered Care: This approach aligns with the principle of patient-centered care, where the client's preferences and values are prioritized. Summary of Other Choices: B: This choice is dismissive and disrespectful of the client's beliefs, potentially causing harm by undermining trust and rapport. C: This choice puts the client on the defensive and does not address the immediate need for a shaman's presence. D: This choice fails to address the client's request and focuses on the right to refuse treatment, which is not the immediate concern in
Question 2 of 5
A female nurse is caring for a traditional Arab American male client. When planning effective care for this client, the nurse should be aware of which of the following cultural considerations? Select all that apply.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. In traditional Arab American culture, limited touch is acceptable only between members of the same sex due to modesty and respect for personal boundaries. 2. This cultural consideration is important for the nurse to provide appropriate care that respects the client's cultural beliefs and preferences. 3. Understanding this aspect helps the nurse establish trust and build rapport with the male client while upholding cultural sensitivity and respect. Summary: - Choice B is incorrect as Arab American individuals may stand close and make eye contact during conversations. - Choice C is incorrect as devout Muslim men may opt for not shaking hands with women due to religious beliefs, not solely based on gender. - Choice D is incorrect as gender roles in traditional Arab American culture can vary and may not always follow a strict hierarchical structure.
Question 3 of 5
What is the priority nursing action during the orientation (introductory) phase of the nurseclient relationship?
Correct Answer: B
Rationale: The correct answer is B: Establish rapport and develop treatment goals. During the introductory phase of the nurse-client relationship, establishing rapport is essential to build trust and a therapeutic alliance. Developing treatment goals collaboratively with the client sets the foundation for the care plan. This action promotes client engagement and empowerment. Acknowledging client actions and generating alternative behaviors (A) is more suited for later phases. Attempting to find alternative placement (C) is not appropriate in the introductory phase. Exploring how thoughts and feelings impact care (D) is important but not the priority during the orientation phase.
Question 4 of 5
A client has made the decision to leave her alcoholic husband. She is feeling very depressed. Which nontherapeutic statement by the nurse conveys sympathy?
Correct Answer: A
Rationale: The correct answer is A because it shows empathy by sharing a personal experience to connect with the client emotionally. It validates the client's feelings and normalizes them. Choice B doesn't convey personal experience, and choice C lacks the personal touch. Choice D offers medication instead of emotional support, which is not therapeutic in this situation.
Question 5 of 5
A nurse moving out of state speaks to a client about the need to work with a new nurse. The client states, Im not well enough to switch to a different nurse. What does this client response indicate to the nurse?
Correct Answer: B
Rationale: The correct answer is B because the client's statement indicates denial of the upcoming change in nurses due to their belief that they are not well enough to switch. This defense mechanism helps the client avoid the reality of the situation. Choice A is incorrect as there is no evidence of manipulation for secondary gain. Choice C is incorrect as the client is not expressing difficulty in terminating the relationship. Choice D is incorrect as splitting involves seeing people as all good or all bad, which is not evident in the client's statement.