ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "It must be frightening to think that someone is reading your mail." This response shows empathy and acknowledges the client's feelings without directly challenging their belief. It validates the client's emotions and helps build trust in the therapeutic relationship.
Explanation for incorrect choices:
A: This response directly challenges the client's belief, which may lead to the client becoming defensive or feeling invalidated.
B: This response focuses on the physical aspect of the mail being sealed, which does not address the client's emotional distress.
D: This response asks a probing question that may come off as confrontational and may make the client feel judged or interrogated.
Question 2 of 5
A nurse is assessing a client’s communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: The correct answer is A: Generalizing. The client's statement "My partner is always criticizing me" is a generalization because it uses the absolute term "always," which implies a consistent negative behavior. This can lead to misunderstandings and exaggeration of the issue. The other choices are incorrect because: B. Manipulating involves controlling or influencing others, which is not evident in the client's statement. C. Distracting involves diverting attention from the main issue, which is not present here. D. Placating involves trying to please or appease others, which is not demonstrated in the client's statement.
Question 3 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale:
Correct
Answer: C. Ask the client if the medication is causing adverse effects.
Rationale: This is the correct answer because assessing for adverse effects can help identify potential reasons for non-adherence. By understanding if the medication is causing discomfort or unwanted side effects, the nurse can address these concerns and work with the client to find solutions, such as adjusting the dosage or trying a different medication.
Incorrect
Choices:
A: Discussing provider goals may not directly address the client's reasons for non-adherence.
B: Requesting a second medication may increase complexity and potential side effects without addressing the root cause of non-adherence.
D: Threatening admission to an inpatient facility is coercive and unlikely to address the underlying issues leading to non-adherence.
Question 4 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D. Quetiapine, an antipsychotic medication, commonly causes dizziness as an adverse effect due to its effects on blood pressure regulation. It is not typically indicative of an allergic reaction. Advising the client to stop the medication immediately (
B) without consulting a healthcare provider can be unsafe and may disrupt the treatment plan. Taking the medication with a meal (
A) or in the morning (
C) may help reduce dizziness, but the primary reason for dizziness with quetiapine is related to low blood pressure, not timing of administration.
Question 5 of 5
A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You might experience confusion for a few hours after treatment." ECT can cause confusion post-treatment due to the anesthesia and the impact on brain function.
Choice B is incorrect as ECT is not a cure but a treatment option.
Choice C is incorrect as the client is usually under anesthesia during ECT.
Choice D is incorrect as ECT does not directly stimulate the vagus nerve. It is crucial for the nurse to inform the client about potential side effects like confusion to ensure informed consent and alleviate any post-treatment concerns.