ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a community clinic is planning an educational session for a group of clients. Which of the following strategies should the nurse use when teaching about stress management?
Correct Answer: B
Rationale: The correct answer is B: Encourage discussion and practice of coping skills. This strategy is effective because it engages clients actively in their learning process, allowing for exploration and application of coping mechanisms tailored to their individual needs. By encouraging discussion, the nurse can assess clients' understanding and provide personalized support. Options A, C, and D are incorrect because lengthy lectures may not be engaging or effective for all clients, discouraging emotions can hinder the therapeutic process, and teaching a one-size-fits-all technique may not address the diverse needs of the group.
Question 2 of 5
A nurse is caring for a client who has posttraumatic stress disorder related to military service. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assign the same staff to care for the client each day. This consistency helps establish trust and familiarity, promoting a sense of safety for the client with PTSD. It also aids in continuity of care and allows the client to build a therapeutic relationship with the staff. This approach can enhance the client's comfort level and reduce anxiety. Encouraging the client to suppress feelings (
A) is harmful as it can lead to further emotional distress. Addressing the client authoritatively (
C) may trigger feelings of threat or fear, worsening symptoms. Limiting time spent with the client (
D) can disrupt the therapeutic bond and hinder progress.
Question 3 of 5
A nurse is providing teaching to the caregiver of a client who has schizophrenia. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: "I should reinforce reality when my loved one is experiencing delusions."
Rationale:
1. Reinforcing reality helps the client distinguish between what is real and what is not, reducing distress.
2. It promotes a sense of safety and trust between the caregiver and the client.
3. It encourages communication and collaboration in managing symptoms.
Summary of Incorrect
Choices:
B: Discouraging expression of feelings can lead to emotional suppression and worsen symptoms.
C: Avoiding talking about hallucinations can create a barrier to understanding the client's experiences.
D: Encouraging isolation can increase feelings of loneliness and exacerbate symptoms.
Question 4 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Implement consequences until the client takes the medication. In this scenario, the client's refusal to take prescribed medication could be detrimental to their health and well-being. By implementing consequences, the nurse is establishing boundaries and reinforcing the importance of following the treatment plan. This approach helps ensure the client's safety and promotes therapeutic compliance.
A: Informing the client that he does not have the right to refuse medication is not a therapeutic approach and could lead to a power struggle.
B: Administering the medication via IM injection without the client's consent violates their autonomy and could damage the nurse-client relationship.
C: Offering the medication at the next scheduled dose time may not address the client's refusal and could prolong the issue.
D: Implementing consequences is the most appropriate action to address the client's refusal and emphasize the importance of medication compliance.
Question 5 of 5
A nurse is assessing a client who has opioid intoxication. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Pinpoint pupils. Opioid intoxication causes miosis, leading to constricted or pinpoint pupils due to the depression of the central nervous system. This is a classic sign of opioid overdose and helps differentiate it from other conditions. Hyperreflexia (
B) is more commonly seen in stimulant intoxication. Increased respiratory rate (
C) is not typically observed in opioid intoxication as opioids depress the respiratory drive. Dilated pupils (
D) are characteristic of stimulant intoxication, not opioids.