ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Allowing the client to provide details at their own pace fosters a sense of control.
Question 2 of 5
A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: The client's withdrawal from alcohol will be managed without complications. This is the highest priority goal because alcohol withdrawal can be life-threatening, requiring close monitoring and intervention to prevent complications like seizures or delirium tremens. It ensures the client's safety and well-being.
Choice A is important but not the highest priority as the client's physical health takes precedence.
Choice B focuses on long-term goals and can be addressed after managing withdrawal.
Choice C addresses anxiety but doesn't address the immediate risks of alcohol withdrawal. Overall, managing withdrawal without complications is the most critical goal to prioritize in this scenario.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client direct questions about the hallucination. This approach helps the nurse understand the client's experience without dismissing or reinforcing the hallucination. It also promotes therapeutic communication and builds trust.
Choice A would not be appropriate as it validates the hallucination.
Choice B could escalate the situation and increase distress.
Choice D may cause the client to become defensive or feel invalidated. Asking direct questions (
Choice
C) allows the nurse to gather information to provide appropriate care and support.
Question 4 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: The correct answer is C: Ideas of reference. This behavior is characteristic of ideas of reference in schizophrenia, where individuals believe that others are talking about them or making fun of them. In this scenario, the client's perception is distorted, leading them to misinterpret the group's laughter as directed towards them. This is not magical thinking (
A), which involves believing in irrational connections between actions and events. It is also not delusions of grandeur (
B), which involve an exaggerated sense of self-importance. Additionally, it is not looseness of association (
D), which is characterized by disorganized thinking and speech patterns.
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.