ATI RN
ATI N200 Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client with post-traumatic stress disorder (PTSD) experiences flashbacks. The nurse should:
Correct Answer: B
Rationale: The correct answer is B: Teach grounding techniques. Grounding techniques help individuals with PTSD stay connected to the present and reduce the intensity of flashbacks. It promotes mindfulness and prevents further distress. Encouraging the client to relive the trauma (
A) can exacerbate symptoms. Administering a sedative immediately (
C) may not address the underlying issue. Avoiding discussing the trauma (
D) can hinder the client's healing process. It is important to provide practical strategies like grounding techniques to help manage flashbacks effectively.
Question 2 of 5
A nurse is caring for a client with generalized anxiety disorder. Which intervention is most effective?
Correct Answer: A
Rationale: The correct answer is A: Encourage deep breathing exercises. Deep breathing exercises can help the client with generalized anxiety disorder to calm their nervous system, reduce stress, and promote relaxation. This intervention is effective in managing anxiety symptoms by increasing oxygen flow, slowing heart rate, and promoting a sense of calm.
Choice B (Promote high-stimulus activities) would likely exacerbate anxiety symptoms by increasing arousal and stress levels.
Choice C (Administer an antidepressant immediately) may be a part of the treatment plan but is not the most effective immediate intervention.
Choice D (Instruct the client to suppress worries) is not helpful as it can lead to increased tension and further anxiety.
Question 3 of 5
A client with schizophrenia refuses medication,stating ,It’s poison. The nurse should:
Correct Answer: B
Rationale: The correct answer is B: Acknowledge the fear and explore it. This approach respects the client's autonomy and builds trust. By acknowledging the fear and exploring it, the nurse can address the client's concerns, provide education about the benefits and risks of the medication, and work collaboratively towards a solution. Forcing the medication (
A) violates the client's rights and trust. Ignoring the refusal (
C) may lead to further resistance. Reporting to the physician (
D) can be done after exploring the fear with the client.
Question 4 of 5
A nurse observes a client with dementia wandering at night. The most appropriate action is:
Correct Answer: B
Rationale: The correct answer is B: Provide a safe, supervised environment. Restraint can lead to agitation and harm. Supervised environment ensures client safety. Administering sleeping pills can have adverse effects. Ignoring the behavior neglects client safety. In dementia, safety is a priority.
Question 5 of 5
A client with borderline personality disorder exhibits splitting. The nurse should:
Correct Answer: B
Rationale: The correct answer is B: Set consistent boundaries. By setting firm and consistent boundaries, the nurse can help the client with borderline personality disorder learn to manage splitting behavior. Encouraging the behavior (choice
A) can reinforce unhealthy patterns. Avoiding interactions (choice
C) can hinder therapeutic progress. Administering an antipsychotic (choice
D) is not the first-line treatment for splitting behavior in borderline personality disorder.