ATI RN
Mental Health Nursing Practice Questions Questions
Question 1 of 5
A nurse should recognize that clients who have a history of missed or late medical appointments are most likely to come from which cultural group?
Correct Answer: C
Rationale: Native Americans are more likely to have a history of missed or late medical appointments compared to other cultural groups for several reasons. Historically, Native Americans have experienced significant health disparities, including limited access to healthcare, discrimination in healthcare settings, and cultural barriers such as language differences or distrust of Western medicine. These factors can contribute to a lack of follow-through with medical appointments. Additionally, socio-economic factors, such as limited transportation options or financial constraints, may also play a role in missed appointments among Native American clients. It is crucial for nurses to understand these cultural influences and work towards building trust and addressing barriers to healthcare access for Native American clients.
Question 2 of 5
Which is the best nursing action when a client demonstrates transference toward a nurse?
Correct Answer: D
Rationale: When a client demonstrates transference toward a nurse, the best nursing action is to help the client clarify the meaning of the current nurse-client relationship. Transference occurs when a client's emotions and feelings from past relationships are unconsciously projected onto the nurse. It is a common occurrence in therapeutic relationships, and addressing it can lead to greater understanding and progress in the therapeutic process. By helping the client recognize and discuss these feelings, the nurse can facilitate insight, promote trust, and strengthen the therapeutic relationship. This approach allows for a more effective exploration of the client's emotions and experiences, leading to better outcomes in the nursing care provided. Terminating the relationship, encouraging the client to ignore these feelings, or immediately reassigning the client to another staff member would not address the underlying issues and could hinder the therapeutic process.
Question 3 of 5
Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurseclient relationship?
Correct Answer: D
Rationale: Option D, "I'm not sure that I can count on you to protect my confidentiality," is a typical response to stress often experienced in the working phase of the nurse-client relationship. During this phase, the client may express concerns about trust and confidentiality as they begin to explore deeper issues and vulnerabilities. This statement reflects the client's fear or uncertainty about whether the nurse will maintain confidentiality, which is crucial for building a therapeutic relationship based on trust. Ensuring confidentiality and trust is essential for the nurse to provide effective care and support to the client.
Question 4 of 5
A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game. The client responds, Do you want to be my girlfriend? Which nursing response is most appropriate?
Correct Answer: B
Rationale: Option B, "Remember, we have a professional relationship. Are you feeling uncomfortable?" is the most appropriate nursing response in this scenario. This response addresses the client's statement in a respectful and non-confrontational manner while also setting clear boundaries regarding the professional nature of the relationship. It acknowledges the client's feelings without encouraging inappropriate behavior or engaging in a romantic dialogue. Setting boundaries is important in therapeutic relationships, especially with clients who may be experiencing delusions or disorganized thinking due to conditions such as paranoid schizophrenia. By gently redirecting the conversation and reminding the client of the boundaries in the therapeutic relationship, the nurse can help maintain a safe and therapeutic environment for both the client and themselves.
Question 5 of 5
What is the main goal of the working phase of the nurseclient therapeutic relationship?
Correct Answer: B
Rationale: The main goal of the working phase of the nurse-client therapeutic relationship is to work with the client to address and resolve their problems. During this phase, the nurse and client collaboratively identify issues, set goals, and work together towards achieving those goals. The focus is on exploring feelings, gaining insight, and making positive changes to promote the client's well-being. The working phase involves active listening, offering support, providing education, and implementing interventions to help the client overcome obstacles and improve their quality of life. The ultimate aim is to assist the client in resolving their problems and empowering them to make positive changes in their life.