ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is preparing to interview a client who has schizophrenia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Start the interview with a question the client can answer with “yes” or "no." This approach is appropriate for clients with schizophrenia as it allows for easier engagement and communication. By starting with closed-ended questions, the nurse can establish rapport, build trust, and help the client feel comfortable. Options A and D may be too intimidating or intrusive for a client with schizophrenia. Option B, placing the client in a higher chair, may create a power dynamic that could be perceived negatively. Options E, F, and G are not provided, but based on the context, they would likely not be appropriate for engaging with a client with schizophrenia.
Question 2 of 5
A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: D
Rationale: Dementia typically presents with progressive forgetfulness and eventual disorientation.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, "I don't care what the doctors say, there is no way I can have HIV, and I don't need treatment for something I don't have." The nurse identifies that the client is experiencing which of the following types of crisis?
Correct Answer: D
Rationale: A situational crisis arises from unexpected events, such as a new medical diagnosis.
Question 4 of 5
A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A lithium level of 1.0 mEq/L is within the therapeutic range (0.6-1.2 mEq/L).
Question 5 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: D
Rationale: The correct answer is D: Adopt a neutral attitude when providing care. This approach is appropriate because it helps build trust with a suspicious client by not triggering further distrust. By being neutral, the nurse avoids giving away personal information (
A) which could be perceived as manipulative, respects the client's boundaries by not overwhelming them with frequent interactions (
C), and doesn't passively wait for the client to initiate interaction (
B) which might reinforce their suspicions. Overall, maintaining a neutral attitude demonstrates professionalism, respect, and allows the client to gradually feel more comfortable without feeling pressured or intruded upon.