ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Set limits for the relationship. Setting limits in a therapeutic relationship helps establish boundaries, maintain professionalism, and create a safe space for the client. Limits provide structure and clarity, helping the client understand expectations and fostering trust. Promoting transference (choice
B) can be harmful as it can distort the client's perception of the nurse. Instructing the client on behavior (choice
C) may feel authoritarian and hinder the development of a collaborative relationship. Engaging in friendly interactions (choice
D) can blur professional boundaries and compromise the therapeutic dynamic.
Question 2 of 5
A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how alcohol use affects the client's psychosocial behaviors?
Correct Answer: A
Rationale:
Rationale: Asking how alcohol use affects work performance helps assess psychosocial impact by identifying functional impairment related to alcohol. This question can reveal issues with productivity, relationships, and financial stability. Other options focus on treatment history, age of onset, and mental health, which are important but not directly related to current psychosocial impact.
Question 3 of 5
A nurse is caring for a client who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Setting behavioral limits helps establish expectations for the client’s conduct in the unit.
Question 4 of 5
A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale:
Correct Answer: B - Constipation
Rationale:
1. Anorexia nervosa often leads to reduced food intake and inadequate nutrition, causing decreased bowel movements and constipation.
2. Constipation is a common gastrointestinal symptom in individuals with anorexia nervosa due to low fiber intake and dehydration.
3. Tachycardia (
A) is more commonly associated with starvation and electrolyte imbalances in anorexia nervosa.
4. Menorrhagia (
C) refers to heavy menstrual bleeding and is not a typical finding in anorexia nervosa.
5. Hyperkalemia (
D) is unlikely in anorexia nervosa as it is more commonly associated with kidney disease or excessive potassium intake.
Question 5 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: D
Rationale: Clients with Alzheimer's benefit from structured routines and step-by-step guidance.