ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a family as a system. Which of the following factors should the nurse include when assessing sociocultural context?
Correct Answer: D
Rationale: The correct answer is D: The family's religious practices. When assessing sociocultural context, understanding the family's religious practices is crucial as it influences beliefs, values, and behaviors within the family system. Religion can impact decision-making, coping mechanisms, and interactions among family members. It provides insight into rituals, traditions, and community connections.
Choices A, B, and C focus more on individual and family dynamics rather than sociocultural context. Option A pertains to personal identity, not sociocultural influences. Option B relates to future aspirations, not immediate sociocultural factors. Option C addresses family structure and roles, but not specifically related to sociocultural context.
Question 2 of 5
A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. This action promotes open communication and allows the nurse to provide support and guidance to help the client manage her urge to overexercise. It also helps in monitoring the client's behavior and intervening when necessary to prevent harm.
Choice A is incorrect because praising the client for looking at herself in a mirror may reinforce unhealthy behaviors associated with body image.
Choice C is incorrect as reprimanding the client may increase feelings of shame and guilt, worsening the situation.
Choice D is incorrect because restricting the client from being weighed may not address the underlying issue of overexercising.
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 in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: The client's withdrawal from alcohol will be managed without complications. This is the highest priority goal because alcohol withdrawal can be life-threatening, requiring close monitoring and intervention to prevent complications like seizures or delirium tremens. It ensures the client's safety and well-being.
Choice A is important but not the highest priority as the client's physical health takes precedence.
Choice B focuses on long-term goals and can be addressed after managing withdrawal.
Choice C addresses anxiety but doesn't address the immediate risks of alcohol withdrawal. Overall, managing withdrawal without complications is the most critical goal to prioritize in this scenario.
Question 5 of 5
A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Leaving the situation and seeking help from authorities is the safest course of action.