ATI RN
Mental Health Nursing Practice Questions Questions
Question 1 of 5
To effectively care for Asian American clients, a nurse should be aware of which cultural norm?
Correct Answer: B
Rationale: In Asian American culture, respect for elders is a deeply ingrained value. Older individuals are often highly respected and maintain positions of authority within the family and community. It is important for healthcare providers, including nurses, to acknowledge and understand this cultural norm when caring for Asian American clients. Showing respect and deference to older clients can help build trust and rapport, leading to more effective communication and care.
Question 2 of 5
When interviewing a client of a different culture, which of the following questions should a nurse consider asking? Select all that apply.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 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 4 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 5 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.