ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy (ECT). Which of the following findings indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D: Improvement in manifestations of depression. This indicates ECT is effective as it is commonly used to treat severe depression. Improvement in depressive symptoms is a key indicator of treatment success.
Incorrect choices: A is incorrect as ECT is not typically used for borderline personality disorder. B is unrelated to ECT. C is incorrect as ECT does not reduce seizures; it is actually used to induce controlled seizures in a therapeutic context.
Question 2 of 5
A nurse is caring for a client following a physical assault. The client states, 'I don’t remember what happened to me.' Which of the following defense mechanisms should the nurse recognize the client is using?
Correct Answer: D
Rationale: The correct answer is D: Repression. Repression is a defense mechanism in which unpleasant or distressing thoughts, memories, or feelings are pushed into the unconscious mind to avoid conscious awareness. In this scenario, the client's inability to remember the assault indicates that their mind has repressed the traumatic event to protect them from emotional distress. Denial (choice
A) involves refusing to acknowledge reality, Rationalization (choice
B) is justifying behaviors, and Displacement (choice
C) is redirecting emotions from the actual source to a substitute target.
Therefore, repression is the most appropriate defense mechanism in this context.
Question 3 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. Which of the following individuals should the nurse ask to assist with communication?
Correct Answer: C
Rationale: The correct answer is C: A translator of the same gender as the client. This choice is the most appropriate because it ensures effective communication while also considering the client's comfort and cultural sensitivity. By selecting a translator of the same gender as the client, the nurse can help foster trust and rapport, which are essential in a support group setting. This choice also helps in maintaining confidentiality and respecting the client's preferences.
Choice A: A unit secretary who speaks the same language as the client may not have the necessary skills or training for effective translation in a sensitive setting like a support group.
Choice B: Another client who speaks the same language as the client may not have the professional boundaries or neutrality required for accurate translation.
Choice D: Involving a family member of the client may compromise confidentiality and create potential conflicts of interest within the support group dynamic.
Question 4 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "We are concerned about you and need to keep you safe." This response acknowledges the client's feelings while emphasizing the nurse's duty to ensure safety. It communicates empathy and concern, which can help build trust. It also sets clear boundaries and reinforces the importance of monitoring for safety in a non-confrontational manner.
Choice A is incorrect because it does not address the immediate safety concerns of the client. Submitting the request to the provider may delay necessary interventions.
Choice C is incorrect as safety contracts are not evidence-based practices and may provide a false sense of security.
Choice D is incorrect as constant observation is not necessary once safety measures have been implemented unless there is an immediate threat.
In summary, choice B is the most appropriate response as it balances empathy with the need for safety and establishes a supportive therapeutic relationship.
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 supporting the client's refusal of medications?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to respecting the client's right to make their own decisions about their treatment. By supporting the client's refusal of medications, the nurse is upholding the principle of autonomy and acknowledging the client's right to choose what happens to their own body. This empowers the client and promotes self-determination.
Other choices are incorrect because:
B: Beneficence focuses on doing good for the client, which would involve ensuring the client receives necessary treatment.
C: Veracity relates to truth-telling, not the client's right to refuse treatment.
D: Justice is about fairness and equal treatment, not specifically related to respecting the client's autonomy.