ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if the medication is causing adverse effects. This is the most appropriate action to improve medication adherence because it addresses a potential barrier to taking the medication regularly. By inquiring about adverse effects, the nurse can assess if the client is experiencing any side effects that may be impacting their ability or willingness to take the medication. By identifying and addressing these issues, the nurse can work with the client to find solutions or alternatives to improve adherence.
Other choices are incorrect:
A: Threatening admission to an inpatient care facility is coercive and not a respectful or effective approach to improving adherence.
B: Discussing provider goals may not directly address the client's challenges with medication adherence.
D: Requesting a second medication without addressing the underlying issues may not solve the problem and can lead to further complications.
Question 2 of 5
A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
Correct Answer: D
Rationale: The correct action is to offer to talk with the caregiver about their feelings first. This is crucial as it shows empathy and allows the caregiver to express their emotions. By actively listening and providing emotional support, the case manager can help the caregiver cope with their distress. Discussing relaxation techniques (
A) may be helpful but addressing the emotional needs should come first. Referring to a support group (
B) or consulting social services for counseling (
C) may be beneficial in the long term, but immediate emotional support is necessary.
Therefore, offering to talk with the caregiver (
D) is the most appropriate initial step.
Question 3 of 5
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Identify prior coping skills. This should be the first action because understanding the adolescents' coping mechanisms will help tailor the crisis intervention effectively. By knowing their prior coping skills, the nurse can build on what has worked well for them in the past. This approach is client-centered and empowers the adolescents to utilize their strengths during this difficult time. Reviewing community resources (
B) can come later once the immediate needs are addressed. Discussing confidentiality (
C) is important but not the priority in a crisis situation. Initiating referrals (
D) may be necessary eventually but should follow understanding the adolescents' coping skills to ensure appropriate referrals are made.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: The correct answer is A: Suppression. Suppression involves consciously choosing to postpone dealing with thoughts, feelings, or impulses. In this scenario, the client is avoiding thoughts of their diagnosis by focusing on a future event. Compensation involves overemphasizing a trait to offset a perceived weakness. Regression involves reverting to an earlier stage of development. Sublimation involves channeling unacceptable impulses into constructive activities. In this case, the client's behavior aligns most closely with suppression, as they are consciously delaying thoughts about their diagnosis.
Question 5 of 5
For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
Correct Answer: D
Rationale: The correct answer is D because a nurse is mandated to report any suspicion of child abuse or neglect, such as the partner tying the child to a bed. This falls under the category of child maltreatment, which must be reported to the appropriate agency to ensure the safety and well-being of the child.
Choices A, B, and C do not involve immediate harm to a vulnerable individual and do not fall under the mandated reporting requirements for nurses.