ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client’s communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: The correct answer is A: Generalizing. This client's statement of "my partner is always criticizing me" demonstrates generalizing by using the word "always," which implies a consistent negative behavior. This type of language can lead to miscommunication and can distort the actual situation. The other choices are incorrect: B: Manipulating implies controlling or influencing others, C: Distracting involves diverting attention away from the main issue, and D: Placating refers to appeasing or pacifying someone. In this scenario, the client's statement does not align with manipulation, distraction, or placation, making generalizing the most appropriate choice.
Question 2 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Initiates social interactions with caregivers. This outcome is appropriate for an adolescent with autism spectrum disorder as it reflects progress in social skills development. By initiating social interactions with caregivers, the adolescent demonstrates improved communication and socialization abilities. This outcome is important for building relationships and fostering independence. Other choices are incorrect as they do not directly address the specific needs of individuals with autism spectrum disorder.
Choice A is not typically relevant as individuals with autism may not experience delusions.
Choice C may be challenging for individuals with autism due to difficulties in understanding social cues.
Choice D is not ideal as it suggests susceptibility to peer influence, which may not be beneficial for someone with autism.
Question 3 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client’s ability to cope?
Correct Answer: C
Rationale: The correct answer is C: "How has this impacted your life?" This question allows the nurse to assess the client's emotional and psychological response to the stroke, providing insight into their coping mechanisms. It opens up communication for the client to express their feelings and concerns, enabling the nurse to offer appropriate support and interventions.
Choice A is incorrect as it assumes the client is not okay with the situation, potentially leading to a negative response.
Choice B focuses on practical assistance rather than emotional coping.
Choice D is incorrect as it delves into the cause of the stroke, which may not be relevant to the client's coping abilities.
Question 4 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse is to request that the client's guardian sign the consent. This is because a legally incompetent individual requires a legal guardian to provide consent on their behalf. The guardian is the designated decision-maker for the client's care and treatment. It is crucial to involve the legal guardian in the decision-making process to ensure that the client's best interests are considered.
Explanation for other choices:
A: Explaining implied consent to the client's family does not involve the legal guardian, who is the appropriate decision-maker.
B: Contacting the social worker may be helpful, but the legal guardian is the one authorized to provide consent.
D: Asking the charge nurse to obtain consent is not appropriate as the legal guardian should be involved.
Overall, involving the client's legal guardian is crucial to ensure proper decision-making for a legally incompetent individual.
Question 5 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Initiates social interactions with caregivers. Adolescents with autism spectrum disorder often struggle with social interactions. By initiating social interactions with caregivers, the adolescent can improve their social skills and build meaningful relationships. This outcome promotes social development and enhances overall well-being.
A: Acknowledging delusions is not typically a realistic outcome for individuals with autism spectrum disorder as they may struggle with reality perception.
C: Meeting own needs without manipulating others may be challenging for individuals with autism spectrum disorder due to difficulties in understanding social cues and boundaries.
D: Changing behavior as a result of peer pressure may not be appropriate as individuals with autism spectrum disorder may have difficulty understanding and responding to peer influence effectively.