ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed,wearing clean clothes and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D. This response acknowledges the client's effort in grooming without making assumptions about their mental state. It provides positive reinforcement for the client's self-care behavior.
Choice A may imply a causal link between grooming and recovery, potentially setting unrealistic expectations.
Choice B generalizes feelings and does not directly address the client's actions.
Choice C may suggest skepticism or surprise, which could make the client feel self-conscious.
Question 2 of 5
A nurse on a mental health unit is caring for clients who have various diagnoses. When determining that the traction is the following client diagnoses as presenting the greatest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. This diagnosis presents the greatest risk for suicide due to the severity of symptoms such as persistent low mood, loss of interest, changes in appetite or sleep, and feelings of hopelessness. Individuals with major depressive disorder are more likely to have suicidal ideation and behaviors. Seasonal affective disorder (
A) typically has depressive symptoms that are related to specific seasons, which may not necessarily increase suicide risk. Persistent depressive disorder (
B) can lead to chronic low mood but may not have the same level of severity as major depressive disorder. Premenstrual dysphoric disorder (
D) is characterized by mood changes before menstruation but is not typically associated with increased suicide risk.
Question 3 of 5
During a group therapy session
Correct Answer: A
Rationale: The correct answer is A because regression involves reverting to an earlier stage of development in response to stress. In this scenario, clients using multiple defense mechanisms may display regression by exhibiting childlike behaviors or speech patterns.
Choice B demonstrates rationalization, choice C shows sublimation, choice D indicates repression, and choice E reflects dissociation. These defense mechanisms are different from regression as they involve justifying actions, channeling emotions into a constructive outlet, suppressing memories, and disconnecting from surroundings, respectively.
Question 4 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Talk the client through tasks one step at a time. For individuals with Alzheimer's disease, breaking tasks into simple steps can help with comprehension and completion. This approach reduces confusion and frustration, promoting independence. Limiting time (
A) may increase agitation. Providing a changing schedule (
C) can be overwhelming. Rotating caregivers (
D) can lead to inconsistency.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: C
Rationale: The correct answer is C: Decrease anxiety to a tolerable level. In the context of OCD, repetitive behaviors like picking up after others often serve as a coping mechanism to alleviate anxiety. It provides a sense of control and temporary relief from distressing thoughts. This behavior is a form of ritualistic compulsion aimed at reducing anxiety.
Choices A, B, and D are incorrect because the primary purpose of the behavior in OCD is not to limit interaction time, manipulate/control others, or focus on meaningless tasks.