ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: D
Rationale: The correct answer is D because reporting a lack of sleep is a classic symptom of acute mania in bipolar disorder. During manic episodes, individuals often experience decreased need for sleep or even insomnia. This can lead to heightened energy levels, racing thoughts, and increased impulsivity. Writing a detailed daily activity schedule (
A) may suggest organization rather than mania. Refusing to engage in conversation (
B) and isolating self from others (
C) are more indicative of depression or social withdrawal, which are not specific to acute mania.
Question 2 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Provide written information about the client's treatment plan. For a client with paranoid personality disorder, providing written information is important as it helps establish trust and transparency in the nurse-client relationship. Written information can reduce the client's anxiety about the treatment plan and provide a sense of control over their care. Monitoring for splitting behaviors (
A) is not directly related to paranoid personality disorder. Isolating the client (
B) goes against the therapeutic goal of promoting social interactions. Encouraging countertransference (
D) is inappropriate as it involves the nurse projecting their feelings onto the client, which can hinder the therapeutic process.
Question 3 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A: Inform the client that they have the legal right to refuse treatment at any time.
Rationale: The correct answer is A because it is essential to respect the client's autonomy and right to make decisions about their own healthcare. Informed consent is a fundamental principle in healthcare and the client has the right to accept or refuse treatment. By informing the client of their right to refuse the procedure, the nurse upholds ethical principles and promotes patient-centered care.
Summary:
B: Encouraging the client to have the procedure disregards the client's autonomy and right to make decisions.
C: Obtaining consent from the client's family member is not appropriate as the decision should be made by the competent client.
D: Requesting another nurse to review the procedure does not address the client's right to refuse treatment.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: The correct answer is A: Suppression. Suppression involves consciously choosing to postpone dealing with thoughts, feelings, or impulses. In this scenario, the client is avoiding thoughts of their diagnosis by focusing on a future event. Compensation involves overemphasizing a trait to offset a perceived weakness. Regression involves reverting to an earlier stage of development. Sublimation involves channeling unacceptable impulses into constructive activities. In this case, the client's behavior aligns most closely with suppression, as they are consciously delaying thoughts about their diagnosis.
Question 5 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will use the coping mechanisms that helped me in the past." This answer indicates that the client recognizes the importance of utilizing effective coping strategies to manage their depressive symptoms. By acknowledging the value of previously successful coping mechanisms, the client demonstrates insight and proactive engagement in self-care.
A: "I will stay in bed on days when I feel exhausted." - Incorrect. Isolating oneself and remaining in bed can exacerbate depressive symptoms and hinder recovery.
C: "I will avoid talking about events that upset me." - Incorrect. Avoiding discussing upsetting events can lead to emotional suppression and lack of resolution, potentially worsening depressive symptoms.
D: "I will rely on my partner to plan out my schedule each day." - Incorrect. While support from a partner is beneficial, dependence on others for daily planning may hinder the client's autonomy and self-efficacy in managing their depression.