ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C. Improvement in manifestations of depression indicates that electroconvulsive therapy is effective. This is because ECT is primarily used for severe depression that has not responded to other treatments. Improvement in symptoms such as low mood, lack of interest, and hopelessness indicates that the treatment is working.
Choice A is incorrect as ECT is not typically used for treating borderline personality disorder.
Choice B is incorrect as ECT does not reduce seizures, but rather induces controlled seizures in the brain.
Choice D is incorrect as fear of heights is not a targeted symptom for ECT treatment.
Question 2 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By asking about the client's intentions, the nurse can assess the level of risk and take appropriate measures to prevent harm. The other choices are less critical in this situation. A (suggest making a list of things that make him angry) and D (assist in exploring techniques to reduce stress) are important in managing aggression but do not address immediate safety concerns. C (role modeling healthy ways to express anger) may be helpful in the long term but does not address the current risk of harm to others.
Question 3 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because informing the counselor about trouble sleeping is crucial in relapse prevention for schizophrenia. Sleep disturbances can signal an impending relapse, and early intervention can prevent exacerbation of symptoms.
Choice A is incorrect as encouraging listening to hallucinations can worsen symptoms.
Choice B is incorrect as isolation can lead to increased stress and exacerbation of symptoms.
Choice C is incorrect as avoiding television does not address the underlying issue.
Question 4 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer the client the medication at the next scheduled dose time. This option respects the client's autonomy and right to refuse treatment, while also ensuring that the client receives the necessary medication. By offering the medication at the next scheduled time, the nurse can continue to monitor the client's condition and provide support without resorting to coercive measures.
Option B: Implement consequences until the client takes the medication, is incorrect as it goes against the client's right to refuse treatment and may damage the therapeutic relationship.
Option C: Inform the client that he does not have the right to refuse the medication, is incorrect as it disregards the client's autonomy and can lead to further resistance to treatment.
Option D: Administer the medication to the client via IM injection, is incorrect as it violates the client's right to make informed decisions about their treatment. This approach should only be considered in emergency situations where the client's safety is at risk.
Question 5 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "It must be difficult for you to feel this way after losing your partner." This response validates the partner's feelings without dismissing or minimizing them. It acknowledges the partner's struggle with guilt and offers empathy and understanding. It recognizes the complexity of grief and allows the partner to express their emotions.
Incorrect responses:
A: This response jumps to a solution without acknowledging the partner's emotions first.
B: This response shifts the focus to the nurse's personal experience, which may not be relevant or helpful to the partner.
D: This response dismisses the partner's feelings and may come across as invalidating.