ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: The correct answer is A: Suppression. Suppression involves consciously choosing to postpone dealing with thoughts, feelings, or impulses. In this scenario, the client is avoiding thoughts of their diagnosis by focusing on a future event. Compensation involves overemphasizing a trait to offset a perceived weakness. Regression involves reverting to an earlier stage of development. Sublimation involves channeling unacceptable impulses into constructive activities. In this case, the client's behavior aligns most closely with suppression, as they are consciously delaying thoughts about their diagnosis.
Question 2 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: B
Rationale: The correct answer is B: "I will use the coping mechanisms that helped me in the past." This answer indicates that the client recognizes the importance of utilizing effective coping strategies to manage their depressive symptoms. By acknowledging the value of previously successful coping mechanisms, the client demonstrates insight and proactive engagement in self-care.
A: "I will stay in bed on days when I feel exhausted." - Incorrect. Isolating oneself and remaining in bed can exacerbate depressive symptoms and hinder recovery.
C: "I will avoid talking about events that upset me." - Incorrect. Avoiding discussing upsetting events can lead to emotional suppression and lack of resolution, potentially worsening depressive symptoms.
D: "I will rely on my partner to plan out my schedule each day." - Incorrect. While support from a partner is beneficial, dependence on others for daily planning may hinder the client's autonomy and self-efficacy in managing their depression.
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: B
Rationale: The correct answer is B: "I will use the coping mechanisms that helped me in the past." This response indicates understanding as it shows the client's awareness of their previous successful strategies for managing depressive symptoms. By recognizing the effectiveness of past coping mechanisms, the client demonstrates an understanding of self-care and the importance of utilizing proven strategies.
Summary of other choices:
A: "I will stay in bed on days when I feel exhausted." - This choice reflects a passive and potentially maladaptive behavior that may worsen depression symptoms.
C: "I will avoid talking about events that upset me." - Avoidance can lead to suppression of emotions and hinder the client's ability to address underlying issues.
D: "I will rely on my partner to plan out my schedule each day." - This choice indicates dependence on others rather than promoting self-reliance and self-care behaviors.
Question 4 of 5
A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)
Correct Answer: A
Rationale: The correct answer is A: Monitor for suicidal ideation. This is the priority intervention because individuals with depression are at increased risk for suicide. Monitoring for suicidal ideation allows for early detection and intervention. Encouraging social isolation (
B) is incorrect as social support is crucial in managing depression. Increasing sedative medication (
C) may lead to dependence and does not address the underlying issues. Teaching relaxation techniques (
D) is helpful but not the priority when dealing with potential suicidal risk.
Question 5 of 5
A nurse is assessing a client with anxiety. Which symptom should the nurse expect? (Hypothetical)
Correct Answer: A
Rationale: The correct answer is A: Restlessness. Anxiety often manifests as restlessness due to increased arousal and nervousness. This can result in fidgeting, pacing, or inability to sit still. Improved concentration (
B) is unlikely as anxiety can impair focus. Increased appetite (
C) is not a common symptom of anxiety, as it can lead to loss of appetite. Lethargy (
D) is more characteristic of depression than anxiety.