ATI RN
ATI NURS 4850 Mental Health Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: B
Rationale: The correct answer is B: Increasing feelings of anger. This is an expected finding in clients with PTSD due to the intense emotional distress and feelings of violation experienced after a traumatic event like sexual assault. Anger is a common symptom of PTSD and can manifest as irritability or outbursts. This is a result of the individual's struggle to process the trauma and can be a coping mechanism. The other choices are incorrect because constant need to talk about the event (
A) may or may not occur, sleeping excessively (
C) is more indicative of depression, and increasing sense of attachment to others (
D) is not a typical symptom of PTSD but rather could be a sign of seeking comfort and support.
Question 2 of 5
A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?
Correct Answer: B
Rationale: The correct answer is B: Projection. Projection is a defense mechanism where individuals attribute their own unacceptable feelings or thoughts onto someone else. In this scenario, the student is projecting his feelings of failure onto the teacher and the course by blaming them for his poor performance. This allows the student to avoid taking responsibility for his own actions and emotions.
A: Undoing is a defense mechanism where a person tries to cancel out a previous unacceptable behavior or thought with a new one. This is not demonstrated in the scenario.
C: Regression is a defense mechanism where individuals revert to earlier, more childlike behaviors. There is no indication of the student displaying regressive behavior in the scenario.
D: Conversion is a defense mechanism where psychological stress is converted into physical symptoms. The scenario does not mention any physical symptoms being expressed by the student.
Therefore, the correct answer is B: Projection, as it best fits the behavior exhibited by the student in the scenario.
Question 3 of 5
A nurse is providing discharge teaching to a client who has schizophrenia and a new prescription for risperidone. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Take this medication at the same time every day. Consistency in timing helps maintain a steady level of the medication in the body, optimizing its effectiveness in managing symptoms of schizophrenia.
Choice A is incorrect as alcohol can interact negatively with risperidone.
Choice B is unsafe, as stopping medication abruptly can lead to withdrawal symptoms or worsening of symptoms.
Choice D is incorrect because regular blood tests are necessary to monitor for potential side effects or medication levels.
Question 4 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed,wearing clean clothes and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: D
Rationale: The correct answer is D. This response acknowledges the client's effort in grooming without making assumptions about their mental state. It provides positive reinforcement for the client's self-care behavior.
Choice A may imply a causal link between grooming and recovery, potentially setting unrealistic expectations.
Choice B generalizes feelings and does not directly address the client's actions.
Choice C may suggest skepticism or surprise, which could make the client feel self-conscious.
Question 5 of 5
A nurse is providing teaching to the parents of an infant who has gastroesophageal reflux (GER). Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale: Thicken the infant's formula with cereal (
Choice
D) is the correct instruction for GER infants as it helps reduce reflux episodes by making the formula heavier and less likely to come back up. This recommendation can help decrease symptoms of reflux in infants.
Summary:
A: Feeding large volumes can exacerbate reflux symptoms.
B: Placing the infant in a supine position after feeding increases the risk of aspiration.
C: Offering a pacifier during feedings may increase air swallowing, worsening reflux.