ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions?
Correct Answer: A
Rationale: The correct answer is A: Denial. The client's calm demeanor and statement of being "fine" despite having traumatic injuries suggest denial, a defense mechanism where the individual refuses to acknowledge the reality of their situation. This reaction is common in individuals facing overwhelming or distressing events as a way to cope with the emotional impact. Displacement (
B) involves redirecting emotions towards a substitute target, Projection (
C) involves attributing one's own unacceptable feelings to others, and Undoing (
D) involves trying to undo or reverse a previous action to alleviate guilt. In this scenario, denial best fits the client's behavior.
Question 2 of 5
A nurse is caring for an older adult client whose provider will discharge him to an extended-care nursing facility. The client asks the nurse why he has to go "to that place." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Encouraging discussion allows the client to express concerns and ensures they are informed about their care plan.
Question 3 of 5
A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A, B, D, E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Providing small meals frequently helps prevent overwhelming the client and supports gradual weight gain.
B: Daily weight monitoring is essential to track the client's progress and assess the effectiveness of the treatment plan.
D: Staying with the client during and after meals helps ensure compliance with the meal plan and prevents purging behaviors.
E: Offering specific privileges for sustained weight gain can serve as positive reinforcement and motivation for the client.
Summary:
C: Allowing the client to choose meals may not always be appropriate as it can lead to food restriction and reinforce maladaptive behaviors.
F, G: Other options not provided in the answer key are not directly related to the management of anorexia nervosa in this context.
Question 4 of 5
A nurse in a mental health facility is interacting with a client who is angry and becoming increasingly aggressive. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Move the client to a private area so the conversation will not be disturbed. This action is important to ensure the safety and privacy of both the client and the nurse. Moving the client to a private area can help de-escalate the situation by reducing external stimuli that may exacerbate the client's aggression. It also allows for a more confidential and therapeutic interaction. In contrast, the other options may not effectively address the client's escalating aggression. Using clarification (
B) may be useful but does not address the immediate safety concern. Speaking authoritatively (
C) may escalate the situation further. Maintaining eye contact (
D) can be perceived as confrontational and may further agitate the client.
Question 5 of 5
A nurse is teaching a group of nursing students about ageism. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Ageism involves stereotypes that portray older adults as cognitively incapable.