ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: C
Rationale: The correct answer is C: Plan the client's schedule to allow time for rituals. This is the most appropriate action because accommodating the client's compulsive behaviors by incorporating time for rituals into their schedule can help reduce anxiety and maintain a sense of control for the client. Isolating the client (
A) can worsen their symptoms and is not therapeutic. Confronting the client (
B) about the senseless nature of their behaviors may increase their anxiety and resistance to treatment. Setting strict limits on behaviors (
D) can lead to increased distress and potential escalation of symptoms.
Question 2 of 5
A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. This action promotes open communication and allows the nurse to provide support and guidance to help the client manage her urge to overexercise. It also helps in monitoring the client's behavior and intervening when necessary to prevent harm.
Choice A is incorrect because praising the client for looking at herself in a mirror may reinforce unhealthy behaviors associated with body image.
Choice C is incorrect as reprimanding the client may increase feelings of shame and guilt, worsening the situation.
Choice D is incorrect because restricting the client from being weighed may not address the underlying issue of overexercising.
Question 3 of 5
A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings, expresses care, and shows concern, which can help the client feel supported and understood. Option A deflects the client's feelings by focusing on the family. Option B may come off as confrontational. Option C is open-ended and may not provide immediate support. Options E, F, G are not provided in the question.
Question 4 of 5
A client at 36 weeks gestation has just delivered a stillborn baby. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You may hold your baby as long as you want." This statement allows the client to process the loss by spending time with their baby. It promotes bonding, closure, and helps in the grieving process.
Choice A is inappropriate as it shifts focus from the client to the nurse.
Choice C may not be what the client desires and may not address their immediate needs.
Choice D is insensitive, dismissive, and invalidates the client's emotions.
Question 5 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don't know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I'm hearing that you are concerned that it might turn out that you have cancer." This answer demonstrates active listening, empathy, and acknowledgment of the client's feelings without dismissing or invalidating them. By paraphrasing the client's concerns, the nurse shows understanding and provides an opportunity for the client to express their fears further.
Choice A is incorrect because it challenges the client's perception rather than validating their feelings.
Choice B is dismissive and does not address the client's emotional needs.
Choice C shifts the responsibility to the provider and misses the opportunity for the nurse to offer support.
In summary, choice D is the most appropriate response as it acknowledges the client's emotions, fosters open communication, and demonstrates empathy, which are essential in providing holistic care.