ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: D
Rationale: Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase. Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase. Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase. During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.
Question 2 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: B
Rationale: The correct answer is B because the client's daily meditation time being interrupted by therapy indicates spiritual distress. Meditation is often a key spiritual practice for individuals to find peace and connection. Therapy disrupting this routine may indicate a lack of spiritual fulfillment or distress. The other choices do not directly indicate spiritual distress as they mostly mention positive aspects of spiritual beliefs or practices.
Choice A shows that faith provides hope, choice C indicates comfort from meditation, and choice D suggests increased support from a spiritual advisor, all of which are positive indicators of spiritual well-being.
Question 3 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: A
Rationale: The correct answer is A because using coping mechanisms that have been effective in the past is a positive self-care behavior for managing major depressive disorder. This indicates the client's willingness to engage in strategies that have worked before, promoting coping and resilience.
Choice B is incorrect as relying solely on someone else for daily planning may lead to dependency and lack of autonomy.
Choice C is incorrect as staying in bed when feeling exhausted can perpetuate feelings of isolation and worsen depressive symptoms.
Choice D is incorrect as avoiding discussing upsetting events can hinder emotional processing and lead to increased distress.
Question 4 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: B
Rationale: While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care. Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others. Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons. Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.
Question 5 of 5
A nurse is caring for a client who states, 'Things will never work out.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Have you been thinking about harming yourself?" This response is crucial as it directly addresses the client's statement indicating hopelessness, showing concern for their safety. It opens a dialogue about potential suicidal ideation, allowing the nurse to assess the client's risk and provide appropriate intervention.
Choice B focuses on the reason behind the client's feelings but doesn't address the immediate concern of safety.
Choice C is dismissive and doesn't address the gravity of the client's statement.
Choice D suggests a medication solution without proper assessment. It's important to prioritize safety and risk assessment in such situations.