ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging the client to talk about their fears fosters therapeutic communication.
Question 2 of 5
A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, C
Rationale: The correct manifestations to include are A (Seizures), B (Illusions), and C (Tremors). Seizures commonly occur during alcohol withdrawal due to central nervous system hyperexcitability. Illusions are perceptual distortions that can occur as a result of alcohol withdrawal. Tremors are a common physical symptom of alcohol withdrawal, often seen in the hands.
Choice D (Polyphagia) refers to excessive hunger, which is not typically associated with alcohol withdrawal.
Choice E (Nystagmus) is an involuntary eye movement that is not a common manifestation of alcohol withdrawal. The key is to focus on symptoms directly related to alcohol withdrawal to provide accurate teaching to the client.
Question 3 of 5
A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?
Correct Answer: D
Rationale: The correct answer is D: "If suspicion of abuse exists, then reporting is mandatory." This statement indicates an understanding of the legal and ethical obligations of healthcare workers regarding reporting suspected child abuse. Reporting is required when there is a reasonable suspicion of abuse, even if concrete evidence is lacking. This is to ensure the safety and well-being of the child.
Other choices are incorrect:
A: "Evidence must exist prior to reporting." - Incorrect because waiting for evidence could delay necessary intervention and compromise the child's safety.
B: "If the potential abuser commits to stopping the abuse, health care workers are not required to report it." - Incorrect because the commitment to stop does not negate the need to report and protect the child.
C: "I don't want to defame someone if the report is false." - Incorrect because the priority is the safety of the child, and reporting suspicions is necessary even if there is a possibility of a false report.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client direct questions about the hallucination. This approach helps the nurse understand the client's experience without dismissing or reinforcing the hallucination. It also promotes therapeutic communication and builds trust.
Choice A would not be appropriate as it validates the hallucination.
Choice B could escalate the situation and increase distress.
Choice D may cause the client to become defensive or feel invalidated. Asking direct questions (
Choice
C) allows the nurse to gather information to provide appropriate care and support.
Question 5 of 5
A nurse is caring for a client who has schizophrenia who consistently does the opposite of what the nurse asks of him. The nurse recognizes this as which of the following alterations in behavior?
Correct Answer: C
Rationale: The correct answer is C: Negativism. Negativism is a symptom of schizophrenia where the client consistently does the opposite of what is asked. This behavior is a form of resistance or opposition to external influences. Automatic obedience (
A) is when a person mindlessly follows commands without questioning. Waxy flexibility (
B) is when a person's limbs can be manipulated and posed by another. Impaired impulse control (
D) refers to the inability to resist impulses or urges.