ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is admitting a client to an alcohol abuse program. The client states, "I'm here because of my boss. It was part of my job to go to parties and drink with clients.” The client's statement is an example of which of the following defense mechanisms?
Correct Answer: C
Rationale: The correct answer is C: Rationalization. Rationalization is a defense mechanism where individuals justify their behavior with logical reasoning to avoid facing the real reasons behind their actions. In this case, the client is justifying their alcohol abuse by attributing it to a work-related obligation, rather than acknowledging personal responsibility. Reaction formation (
A) involves expressing the opposite of one's true feelings, which is not evident in the scenario. Compensation (
B) involves making up for perceived deficiencies, which is not described. Suppression (
D) is the conscious effort to push unwanted thoughts or feelings out of awareness, which does not apply here.
Question 2 of 5
A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding?
Correct Answer: A
Rationale: The correct answer is A. Tremors typically start within 6-12 hours after the last drink, not less than 24 hours. This indicates a correct understanding of alcohol withdrawal.
Choice B is incorrect as Disulfiram does not block cravings but causes unpleasant effects if alcohol is consumed.
Choice C is incorrect as withdrawal symptoms can last up to a week or more.
Choice D is incorrect as vitamin C does not prevent cirrhosis or liver damage from alcohol use.
Question 3 of 5
A nurse is speaking with a client experiencing anxiety. Which of the following responses is most therapeutic?
Correct Answer: B
Rationale: The correct answer is B, "Come with me to an area where we can talk without interruption." This response is most therapeutic because it acknowledges the client's need for privacy and establishes a safe and confidential space for the client to express their feelings. By offering to talk without interruption, the nurse demonstrates active listening and empathy, which can help the client feel supported and understood.
Choice A is incorrect because assuming that all clients benefit from lying down may not be appropriate or therapeutic for everyone experiencing anxiety.
Choice C is incorrect because suggesting relaxation exercises may not address the immediate needs of the client in distress.
Choice D is incorrect because immediately jumping to medication may not be the most therapeutic approach without first exploring other coping strategies or interventions.
Question 4 of 5
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Correct Answer: B
Rationale: The correct answer is B: A private room in a quiet location on the unit. This choice ensures a calm environment, minimizing stimulation which can exacerbate mania. A private room reduces distractions and promotes rest.
Choices A, C, and D may expose the client to increased stimuli, potentially worsening manic symptoms. It's crucial to provide a peaceful setting to support the client's recovery.
Question 5 of 5
A nurse on a mental health unit is caring for clients who have various depressive disorders. The nurse should identify which of the following client diagnoses as presenting the greatest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: Major depressive disorder. This diagnosis presents the greatest risk for suicide due to the severity and intensity of depressive symptoms, including pervasive feelings of hopelessness, worthlessness, and suicidal ideation. Clients with major depressive disorder often experience significant impairment in daily functioning, making them more vulnerable to suicidal behavior. Other choices like premenstrual dysphoric disorder (
A), seasonal affective disorder (
B), and persistent depressive disorder (
D) may also have depressive symptoms but are generally less severe and do not typically carry the same level of suicide risk as major depressive disorder.