ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A client awaiting surgery expresses fear of having cancer. Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: "I hear that you are concerned about this." This response validates the client's feelings, shows empathy, and acknowledges their fear without making assumptions or dismissing their concerns. It demonstrates active listening and helps build a therapeutic relationship.
Incorrect answers:
A: "Why do you think you have cancer?" - This question may come off as dismissive or probing, potentially making the client feel invalidated.
B: "I don't see any reason for you to worry." - This response invalidates the client's feelings and can increase their anxiety.
C: "That's something to discuss with your provider." - While it is important to involve the provider, this response lacks empathy and does not address the client's immediate emotional needs.
Question 2 of 5
A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Protecting the client from injury. This is the highest priority because ensuring the client's physical safety is essential during a crisis intervention for acute anxiety. If the client is at risk of harming themselves or others, immediate action must be taken to prevent any harm. Options B, C, and D are important aspects of care but ensuring physical safety takes precedence in this situation. Determining the cause of anxiety, ensuring the client feels safe, and identifying coping skills are important but can be addressed once the immediate risk of harm is addressed.
Question 3 of 5
A nurse is caring for a client who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Setting behavioral limits helps establish expectations for the client’s conduct in the unit.
Question 4 of 5
A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I wonder if you are fearful of dying alone." This response shows empathy and understanding towards the client's emotional state. It acknowledges the client's feelings of fear and addresses the underlying concern regarding dying alone. It opens up a conversation for the client to express their emotions and concerns.
Incorrect choices:
A: "We will call your family in time for them to get here." - This choice focuses on logistics rather than addressing the client's emotional needs.
C: "I will make sure a staff member is in your room at all times." - This choice addresses physical safety but does not address the emotional aspect of the client's statement.
D: "I will tell your family of your concern so that they can be here." - This choice does not directly address the client's feelings and may not provide the emotional support needed.
Question 5 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: B
Rationale: The correct initial action is choice B: Talk to the client and identify the specific limits that are required of the client's behavior. This approach focuses on addressing the disruptive behavior directly with the client, setting clear expectations, and establishing boundaries. By communicating with the client, the nurse can help the client understand the impact of their actions and work towards behavior change.
Choice A: Talking to the nursing staff may not directly address the client's behavior and may not lead to immediate resolution.
Choice C: Discussing the problem in a community meeting with other clients present may embarrass the client and not effectively address the behavior.
Choice D: Escorting the client to her room each time may be seen as punitive and may not address the underlying issue causing the disruptive behavior.
In summary, choice B is the most appropriate initial action as it focuses on addressing the behavior directly with the client and setting clear boundaries.