ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It's okay to feel scared. Let's talk about what you are afraid of." This response acknowledges the client's feelings, validates her emotions, and opens the door for further discussion to address her fears and concerns. It promotes therapeutic communication and helps establish trust between the nurse and client.
Choice B is incorrect because it dismisses the client's fear without addressing it directly.
Choice C may create a sense of camaraderie but does not focus on the client's current emotional state.
Choice D is incorrect as it minimizes the client's feelings and shifts the focus away from her fears.
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: Projection involves attributing one’s own feelings or faults to others.
Question 3 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don't know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I'm hearing that you are concerned that it might turn out that you have cancer." This answer demonstrates active listening, empathy, and acknowledgment of the client's feelings without dismissing or invalidating them. By paraphrasing the client's concerns, the nurse shows understanding and provides an opportunity for the client to express their fears further.
Choice A is incorrect because it challenges the client's perception rather than validating their feelings.
Choice B is dismissive and does not address the client's emotional needs.
Choice C shifts the responsibility to the provider and misses the opportunity for the nurse to offer support.
In summary, choice D is the most appropriate response as it acknowledges the client's emotions, fosters open communication, and demonstrates empathy, which are essential in providing holistic care.
Question 4 of 5
A nurse is caring for a 9-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about how you are feeling about your son's activities!" This response is appropriate as it shows empathy and allows the mother to express her concerns openly. By actively listening and encouraging her to share her feelings, the nurse can better understand her perspective and provide tailored support and education. It also helps build a trusting relationship between the nurse and the mother.
Choices B, C, and D are incorrect. B suggests an extreme solution of homeschooling without addressing the mother's concerns. C dismisses the mother's fears and does not address her emotional needs. D could potentially alienate the mother by labeling her as overprotective without exploring the underlying reasons for her concerns.
Question 5 of 5
A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: D
Rationale: Dementia typically presents with progressive forgetfulness and eventual disorientation.