ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias?
Correct Answer: D
Rationale: Agoraphobia is the fear of being in open or public spaces, leading to avoidance behavior.
Question 2 of 5
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hand tremors are a common early symptom of alcohol withdrawal.
Question 3 of 5
A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?
Correct Answer: D
Rationale: Encouraging the spouse to verbalize concerns supports therapeutic communication.
Question 4 of 5
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It sounds like you’re having a difficult time." This response acknowledges the client's feelings without judgment, showing empathy and support. It validates the client's emotions and opens the door for further exploration of their concerns. It helps build rapport and trust between the nurse and the client, which is essential in therapeutic communication.
Choices B, C, and D are incorrect because they do not directly address the client's feelings or offer emotional support. B focuses on involving parents, which may not be appropriate or helpful. C asks a closed-ended question that may make the client feel defensive. D is a closed-ended question that does not show empathy or validate the client's feelings.
Question 5 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.