ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?
Correct Answer: A
Rationale: Clients who have stabilized with medication are appropriate for group therapy.
Question 2 of 5
A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "What is it about the adverse effects that concern you?" This response demonstrates active listening and empathy, allowing the nurse to understand the specific concerns of the client and address them effectively. By asking this question, the nurse can provide tailored information and support, helping to alleviate the client's worries.
Other choices are incorrect:
A: This response does not address the client's concerns directly and may not provide the immediate support needed.
B: While support from organizations like the American Cancer Society is valuable, it does not address the client's concerns at that moment.
D: This response dismisses the client's worries and does not offer reassurance or support. It can also instill fear and anxiety in the client.
Question 3 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 4 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.
Question 5 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.