ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy rather than sympathy, as the nurse is sharing her own experience to connect with the client. This can create a sense of validation and understanding for the client's emotions.
Choice B acknowledges the client's feelings and offers support, making it a therapeutic response.
Choice C also acknowledges the client's feelings and offers an opportunity for discussion, making it a therapeutic response.
Choice D is non-therapeutic as it jumps to suggesting medication without fully exploring the client's emotional needs.
Question 2 of 5
A nurse is caring for a client who lost all his possessions in a house fire and states, 'I have no idea what I am going to do. I cannot think right now.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Maintain eye contact with the client and summarize the client's feelings. This is the best option because it shows active listening and empathy towards the client's emotional state. By maintaining eye contact, the nurse conveys attentiveness and support, which can help the client feel heard and understood. Summarizing the client's feelings also validates their emotions and can help them process their thoughts.
Option A is incorrect because focusing on practical solutions may not address the client's immediate emotional needs. Option B is inappropriate as involving the chaplain may not be necessary at this moment. Option C is dismissive of the client's feelings and does not offer emotional support.
Question 3 of 5
A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?
Correct Answer: A
Rationale: The correct answer is A: Aggressive behavior. Severe anxiety can trigger a fight-or-flight response, leading to aggression. This can manifest as verbal or physical outbursts.
Choice B, attention-seeking conduct, is not typically associated with severe anxiety but rather with other underlying issues.
Choice C, mild fidgeting, is more common in mild anxiety cases.
Choice D, mild difficulty problem-solving, is not a typical manifestation of severe anxiety but may occur in more severe mental health conditions.
Question 4 of 5
A male client is admitted to the unit with a possible diagnosis of delirium. Which statement by the client's wife best supports the diagnosis?
Correct Answer: D
Rationale: The correct answer is D because delirium is characterized by a rapid onset of confusion, changes in behavior, and cognitive impairment. The wife's statement indicates that the changes in the husband's behavior came on suddenly, which aligns with the acute nature of delirium.
Choices A, B, and C do not specifically address the sudden onset of symptoms that differentiate delirium from other cognitive disorders like dementia.
Choice A implies a misconception about aging.
Choice B attributes the symptoms to grief, and choice C suggests long-standing forgetfulness rather than a sudden change.
Question 5 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: D
Rationale: The correct answer is D because a child whose parents answer questions for them could indicate potential abuse, as it may suggest controlling behavior or fear of speaking out.
Choice A (obesity) is not a definitive sign of abuse.
Choices B (call light use) and C (frequent visitors) are not necessarily indicators of abuse, as they could have other explanations.