ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, 'I’m being kept in this prison against my will. Please try to get me out.' Which of the following responses should the nurse make?

A. We are here to help you and give you the care that you need right now.'B. You feel that you don’t belong here?'C. Why do you feel that you need to leave?'D. Try to take some deep breaths and I’m sure you’ll feel better.'

Correct Answer: B

Rationale: Reflecting feelings (
B) validates and opens dialogue. Help (
A) dismisses, why (
C) confronts, and breathing (
D) minimizes.

Question 2 of 5

A nurse is discussing insomnia management techniques with a group of clients who have anxiety disorders. Which of the following techniques mentioned by a client requires further teaching?

A. If I wake up at night, I go to another room and read for 20 minutes.'B. I have stopped taking naps in the afternoon.'C. I watch the television in my bedroom to help me sleep.'D. I eat my evening meal at least 3 hours before I go to bed.'

Correct Answer: C

Rationale: TV in the bedroom (
C) disrupts sleep with light and noise. Reading (
A), no naps (
B), and early meals (
D) aid sleep hygiene.

Question 3 of 5

A nurse in an acute care mental health facility is caring for a client who is experiencing an acute manic episode. Which of the following is the nurse's priority intervention?

A. Protect the client and others from impulsive behavior.B. Maintain the client's contact with family members.C. Discourage the client's inappropriate sexual expression.D. Control the client's use of loud and vulgar language.

Correct Answer: A

Rationale: Protecting from impulsive behavior (
A) prioritizes safety in mania. Family contact (
B), sexual expression (
C), and language (
D) are secondary to immediate risk.

Question 4 of 5

A nurse is assisting with the plan of care for a client who is newly diagnosed with borderline personality disorder. Which of the following interventions is the nurse's priority?

A. Providing strategies for redirecting violent behaviorB. Exploring reasons for her behaviorC. Encouraging the client to talk about her feelingsD. Protecting the client from self-harm behavior

Correct Answer: D

Rationale: Protecting from self-harm (
D) is urgent due to BPD’s high risk. Violence (
A), reasons (
B), and feelings (
C) follow safety.

Question 5 of 5

A nurse facilitating a group therapy session is listening to clients discuss their coping strategies when feeling stressed. Which of the following statements indicate adaptive coping? (Select all that apply.)

A. I tense and release my muscles, starting with my feet.'B. I sleep in in the mornings.'C. I think about being on my favorite beach vacation.'D. I isolate myself in my room for a few hours when things get overwhelming.'E. Social support

Correct Answer: A,E

Rationale: Progressive muscle relaxation (
A) and social support (E) reduce stress effectively. Oversleeping (
B) disrupts rhythms, distraction (
C) avoids root causes, and isolation (
D) increases loneliness.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

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ATI LPN

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