ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because identifying precipitating factors for rituals helps the nurse understand triggers for OCD behaviors. This knowledge can guide interventions to prevent or manage these behaviors effectively. Discussing coping strategies (
A), teaching relaxation techniques (
C), or providing a structured activity schedule (
D) would be premature without understanding the root cause. In summary, addressing the triggers is crucial in managing OCD behaviors effectively.
Question 2 of 5
A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Sending the older adult client to a rehabilitation facility post-cerebrovascular accident is crucial for optimizing recovery. Early rehabilitation can help improve mobility, function, and quality of life. By stating they have started plans for this, the nurse reassures the partner that appropriate steps are being taken for the client's continued care.
Incorrect
Choices:
B: Dismissing the partner's concerns and focusing solely on the present does not address the partner's need for information and support regarding the client's future care.
C: Making a blanket statement about progress without specific information or reassurance can lead to false hope or confusion for the partner.
D: Redirecting the partner to the provider without offering any information or support can leave the partner feeling overwhelmed and unsupported in navigating the client's care.
Question 3 of 5
A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Acknowledging the client’s emotions without confrontation helps de-escalate the situation.
Question 4 of 5
A nurse is caring for a client who has schizophrenia. The client states, "The government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?
Correct Answer: A
Rationale: Persecutory delusions involve irrational beliefs that one is being targeted or harmed by external forces.
Question 5 of 5
A nurse is caring for a client who has delusional behavior and states, "I can't go to group therapy today. I am expecting a high-level official to visit me." The nurse responds, "I understand, but it is time for group therapy, and we expect everyone to attend. Let's walk over together.” For which of the following reasons is the nurse's response considered therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it clearly articulates what is expected of the client, promoting structure and consistency in the therapeutic environment. By stating the expectation for the client to attend group therapy, the nurse establishes boundaries and encourages the client to participate in the treatment plan. This approach helps the client understand the importance of group therapy and fosters accountability.
The other choices are incorrect:
B: Demonstrating empathy towards the delusion may validate the client's false beliefs and hinder therapeutic progress.
C: Setting limits on manipulative behavior may be necessary, but in this scenario, the focus is on setting clear expectations rather than addressing manipulation.
D: Using reflection is a valuable therapeutic technique, but it is not the primary reason why the nurse's response is considered therapeutic in this situation.