ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a mood disorder to determine his readiness for discharge. Which of the following statements by the client indicates he is ready for discharge?
Correct Answer: C
Rationale: Adherence to medication and awareness of emergency contacts indicate readiness for discharge.
Question 2 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Correct Answer: B, D, E
Rationale: Tardive dyskinesia involves involuntary repetitive movements such as lip smacking, facial grimacing, and pelvic rocking.
Question 3 of 5
A nurse is caring for a client who has delusional behavior and states, "I can't go to group therapy today. I am expecting a high-level official to visit me." The nurse responds, "I understand, but it is time for group therapy, and we expect everyone to attend. Let's walk over together.” For which of the following reasons is the nurse's response considered therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it clearly articulates what is expected of the client, promoting structure and consistency in the therapeutic environment. By stating the expectation for the client to attend group therapy, the nurse establishes boundaries and encourages the client to participate in the treatment plan. This approach helps the client understand the importance of group therapy and fosters accountability.
The other choices are incorrect:
B: Demonstrating empathy towards the delusion may validate the client's false beliefs and hinder therapeutic progress.
C: Setting limits on manipulative behavior may be necessary, but in this scenario, the focus is on setting clear expectations rather than addressing manipulation.
D: Using reflection is a valuable therapeutic technique, but it is not the primary reason why the nurse's response is considered therapeutic in this situation.
Question 4 of 5
A nurse is assessing a client who has schizophrenia. The client says, "I hear voices telling me what to do." This is an example of which of the following?
Correct Answer: C
Rationale: Auditory hallucinations are common in schizophrenia, involving hearing voices that are not real.
Question 5 of 5
A nurse is assessing a client who has post-traumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: C
Rationale: Avoidance of discussing the traumatic event is a key symptom of PTSD.