ATI RN
ATI RN Mental Health 2023 Exam 3 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: B
Rationale: The correct answer is B: Evaluate progress toward predetermined goals. During the working phase of a therapeutic relationship, the nurse assesses the client's progress towards the goals set during the initial phase. This step is crucial in determining the effectiveness of the interventions and making adjustments as needed. Informing the client about confidentiality rights (choice
A) is important in the orientation phase. Establishing boundaries (choice
C) is relevant in the introductory phase. Setting short- and long-term objectives (choice
D) is typically done in the initial phase.
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: A
Rationale: The correct answer is A because the client's statement indicates a conflict between their spiritual practice (daily meditation time) and their therapy schedule, leading to potential spiritual distress. This conflict may disrupt the client's spiritual well-being.
B is incorrect as the increased visits from the spiritual advisor suggest support rather than distress. C indicates the client finds comfort in meditation, not distress. D shows that the client's faith provides hope, which is a positive aspect of their spiritual beliefs.
Question 3 of 5
A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
Correct Answer: D
Rationale: The correct action is to offer to talk with the caregiver about their feelings first. This is crucial as it shows empathy and allows the caregiver to express their emotions. By actively listening and providing emotional support, the case manager can help the caregiver cope with their distress. Discussing relaxation techniques (
A) may be helpful but addressing the emotional needs should come first. Referring to a support group (
B) or consulting social services for counseling (
C) may be beneficial in the long term, but immediate emotional support is necessary.
Therefore, offering to talk with the caregiver (
D) is the most appropriate initial step.
Question 4 of 5
A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: The client begins sleeping more than usual. This is a common manifestation of relapse in schizophrenia. Increased sleep can indicate worsening symptoms, such as withdrawal or increased hallucinations. It is crucial for the family to recognize this early sign to seek timely intervention.
Choices B, C, and D are incorrect because an inability to concentrate, an inflated sense of self, and increased participation in social activities are not typically specific indicators of relapse in schizophrenia. It is important to focus on observable behaviors like changes in sleep patterns for early detection and management of relapse.
Question 5 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression.
Therefore, improvement in depressive symptoms indicates the treatment's effectiveness. Reduced frequency of seizures (
A) is not relevant to ECT. Reduced panic attacks (
B) and decreased fear of heights (
D) are not direct indications of ECT effectiveness. Make sure to monitor for potential side effects of ECT such as memory problems.