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 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: A
Rationale: Offering to talk with the caregiver about their feelings provides immediate support and validation of their emotions. It allows the caregiver to express their concerns and stressors, which can help alleviate some of the caregiver's distress. Referring the caregiver to a local support group is a helpful intervention but may not address the caregiver's immediate emotional needs. Offering immediate support by listening and empathizing is the first step. Discussing relaxation techniques with the caregiver may be beneficial, but addressing the caregiver's emotional distress should take precedence. Consulting social services to explore counseling for the caregiver is a valuable intervention, but offering immediate support by engaging in a conversation about their feelings is the most appropriate initial action.
Question 3 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 4 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 5 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale:
Correct Answer: 10 mL
Rationale:
To calculate the mL per dose, divide the total daily dose by the concentration of the medication.
40 mg per day ÷ 10 mg/5 mL = 8 mL per dose
Round to the nearest whole number, the nurse should administer 10 mL per dose.
Summary of other choices:
A. Incorrect. No value provided.
B. Incorrect. No calculation shown.
C. Incorrect. No relevant information given.
D. Incorrect. No explanation provided.
E. Incorrect. No relevant answer.
F. Incorrect. No reasoning provided.
G. Incorrect. No calculation or reasoning shown.