ATI RN
ATI RN Mental Health 2023 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: D
Rationale: The correct answer is D: Suppression. The client is consciously avoiding thinking about their cancer diagnosis by focusing on the upcoming birth of their grandchild. Suppression involves pushing unwanted thoughts or feelings out of one's consciousness. Compensation (
A) is making up for a perceived weakness by emphasizing a strength. Sublimation (
B) is channeling unacceptable impulses into socially acceptable activities. Regression (
C) is reverting to an earlier stage of development. In this scenario, the client is not displaying any of these defense mechanisms, but rather using suppression to temporarily avoid dealing with their diagnosis.
Question 2 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: C
Rationale: The correct answer is C: Reports a lack of sleep. In acute mania, individuals often experience decreased need for sleep or insomnia. This symptom is a hallmark of manic episodes in bipolar disorder. Lack of sleep can exacerbate manic symptoms and lead to increased impulsivity and risk-taking behaviors. Writing a detailed daily activity schedule (
A) is more indicative of organized behavior, not necessarily mania. Isolating oneself from others (
B) can be a sign of depression or social withdrawal, not mania. Refusing to engage in conversation (
D) may indicate other issues such as anxiety or communication difficulties.
Question 3 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?
Correct Answer: B
Rationale: The correct answer is B: The client's best friend moved away. This factor may interfere with the client's recovery from coronary artery bypass surgery because social support plays a crucial role in reducing stress and promoting healing. Losing a close friend can lead to feelings of loneliness and isolation, which can negatively impact the client's emotional well-being and recovery process.
A: The client walks their dog daily - Regular physical activity is beneficial for recovery and stress management.
C: The client exercises in the morning - Regular exercise is important for recovery and stress relief.
D: The client has stopped drinking coffee - This alone is unlikely to significantly interfere with recovery.
In summary, choice B is correct as it directly affects the client's emotional state, while the other choices are less likely to interfere with recovery from coronary artery bypass surgery.
Question 4 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.
Question 5 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: D
Rationale: The correct answer is D: "I don't feel anything but numbness anymore." This statement indicates emotional blunting, a common symptom of clinical depression where individuals experience a lack of emotions or feeling disconnected. This is a concerning sign as it suggests a significant impact on the client's emotional well-being. Reporting this to the provider is crucial for further evaluation and potential intervention.
Incorrect choices:
A: This statement reflects a normal response to grief, as it acknowledges the time needed for healing.
B: Seeking support from family is a healthy coping mechanism during bereavement.
C: Expressing anger is also a common grief response and does not necessarily indicate clinical depression.