ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Rationalization. The client is using rationalization by attributing their blackouts to low blood sugar instead of acknowledging the possibility of dissociative identity disorder. Rationalization is a defense mechanism where individuals justify their behaviors or feelings with logical explanations to avoid facing uncomfortable truths. In this scenario, the client is rationalizing their blackouts as a result of low blood sugar, which is a more socially acceptable reason compared to accepting the diagnosis of dissociative identity disorder.
Suppression (
A) involves consciously pushing unwanted thoughts or feelings out of awareness. Sublimation (
B) is redirecting unacceptable impulses into socially acceptable activities. Projection (
C) is attributing one's own thoughts or feelings onto others. In this case, the client is not using these defense mechanisms.
Question 2 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression. Improvement in depressive symptoms indicates the treatment is effective. Decreased fear of heights (
A) is not a typical outcome of ECT. ECT is not used to treat seizures (
B). ECT may not directly target symptoms of borderline personality disorder (
C).
Question 3 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Varenicline. This is because Varenicline is a medication specifically indicated for smoking cessation. It works by reducing the pleasurable effects of nicotine and decreasing cravings. Naltrexone (
A) is used for alcohol and opioid dependence, not smoking cessation. Donepezil (
B) is used to treat Alzheimer's disease. Disulfiram (
D) is used to deter alcohol consumption by causing unpleasant effects when alcohol is ingested. Hence, the nurse should expect the provider to prescribe Varenicline to help the client quit smoking effectively.
Question 4 of 5
A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use short, simple sentences when speaking to the client. This is the most appropriate action because individuals with moderate anxiety may have difficulty concentrating and processing complex information. Using short, simple sentences can help the client better understand and retain the information provided.
Summary:
B: Showing a 30-minute teaching video can overwhelm the client and may not be effective in addressing the client's anxiety.
C: Providing detailed explanations may confuse the client and increase their anxiety levels.
D: Avoiding asking the client questions can hinder the nurse's ability to assess the client's understanding and address any concerns they may have.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to the individual's right to make decisions about their own health care. By supporting the client's refusal of medications, the nurse is respecting the client's autonomy and right to make decisions about their own treatment. This empowers the client to have control over their own care.
Choice B: Justice, is incorrect as it pertains to fairness and equal treatment, which is not directly related to the client's refusal of medications.
Choice C: Veracity, is incorrect as it relates to honesty and truthfulness, which is not the main ethical principle demonstrated in this scenario.
Choice D: Beneficence, is incorrect as it refers to the obligation to do good and act in the best interest of the client, which would typically involve encouraging the client to take prescribed medications for their well-being.