A nurse is caring for a client who is preparing his advance directives. Which of the following statements by the client indicates an understanding of advanced directives?

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ATI Mental Health Practice B 2023 Questions

Question 1 of 5

A nurse is caring for a client who is preparing his advance directives. Which of the following statements by the client indicates an understanding of advanced directives?

Correct Answer: D

Rationale: The correct answer is D: I have the right to refuse treatment. This statement indicates an understanding of advance directives as it acknowledges the client's autonomy in making decisions about their healthcare, including the option to refuse treatment. This aligns with the purpose of advance directives, which is to allow individuals to express their healthcare preferences in advance. Explanation of incorrect choices: A: I can't change my instructions once a minute - This statement is incorrect because individuals have the right to update or change their advance directives at any time. B: My doctor will need to approve my advance directives - This is incorrect as advance directives are the patient's own preferences and do not require approval from the doctor. C: I need an attorney to witness my signature on the advance directives - While having a witness is recommended, it does not necessarily have to be an attorney. This choice implies a misunderstanding of the requirements for advance directives.

Question 2 of 5

While interviewing a patient, a nurse asks, 'What do you do when you get angry?' Which patient response would indicate to the nurse that the patient engages in anger suppression?

Correct Answer: B

Rationale: The correct answer is B because withdrawing and pouting about the problem indicates a passive-aggressive behavior associated with anger suppression. This response suggests that the patient avoids direct confrontation and attempts to mask their anger by withdrawing and internalizing their emotions. A: "I've been known to fly off the handle when I'm angry." - This response indicates explosive anger expression, not suppression. C: "I usually approach the person directly to talk about it." - This response suggests open communication, not suppression. D: "I try to discuss how I'm feeling about it with a close friend." - This response implies seeking support and emotional expression, not suppression.

Question 3 of 5

Which statement by the nurse expresses respect for the client?

Correct Answer: B

Rationale: The correct answer is B because it demonstrates respect for the client's confidentiality and privacy, which are essential in maintaining trust and therapeutic relationships. By assuring the client that discussions will remain within the healthcare team, the nurse upholds the client's autonomy and dignity. Option A lacks respect as it involves blaming and restricting the client. Option C shows empathy but implies judgment towards the client. Option D downplays the client's feelings and fails to acknowledge their individuality.

Question 4 of 5

A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates

Correct Answer: A

Rationale: The correct answer is A: boundary blurring. The nurse's statement suggests an inappropriate emotional involvement with the patient, crossing professional boundaries. This can lead to biased decision-making and hinder teamwork. Sexual harassment (B) and positive regard (C) are not applicable in this context. Advocacy (D) involves supporting and promoting the patient's best interests, which is not demonstrated in the nurse's statement.

Question 5 of 5

A nurse has used the Geriatric Depression Scale (short form) to assess an older adult client for depression. Which score would lead the nurse to suspect that the client is mildly depressed?

Correct Answer: B

Rationale: The correct answer is B (5). The Geriatric Depression Scale short form ranges from 0 to 15, with higher scores indicating more severe depression. A score of 5 falls within the mild depression range (0-9), suggesting the client is mildly depressed. Scores of 3 (A), 8 (C), and 13 (D) would indicate minimal or no depression (0-4), moderate depression (10-14), and severe depression (15), respectively. Therefore, choice B is the most appropriate score to suspect mild depression in this case.

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