ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I don’t want to go on living without them.' Which of the following therapeutic responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "Have you thought about harming yourself?" This response demonstrates active listening and shows concern for the client's safety, which is a priority when assessing suicidal ideation. Asking directly about self-harm can open up a dialogue for further assessment and intervention. It also allows the nurse to gauge the client's risk level and provide appropriate support or referrals.
Choice A is incorrect because it implies a conditional agreement that may not be achievable solely through counseling.
Choice B is inappropriate as prescribing sedatives without addressing the underlying issues is not therapeutic.
Choice D does not address the immediate safety concern and may not be feasible or safe.
Question 2 of 5
A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Statement A reflects countertransference as it indicates a personal connection between the nurse and the client based on the nurse's past experience with their brother. This can lead to biased care.
Summary:
- Statement B is focused on the client's responsibility.
- Statement C is about the client's behavior during therapy.
- Statement D is about the client's request for a date with the nurse, which is boundary crossing.
Question 3 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Give the client a choice of solitary activities. Individuals with schizoid personality disorder tend to prefer solitary activities and have difficulty forming close relationships. Offering a choice of solitary activities respects their need for independence and solitude, promoting their sense of control and autonomy. This intervention can help the client feel more comfortable and engaged without the pressure of social interaction.
A: Identifying splitting behaviors is more relevant to borderline personality disorder, not schizoid.
C: Helping the client identify sources of anger may not be as beneficial since schizoid individuals often have limited emotional expression.
D: Setting limits on the client's social contact is not appropriate as schizoid individuals prefer solitude.
Question 4 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: C
Rationale: The correct answer is C: "Have you noticed an increase in thirst?" This question is relevant because olanzapine, an antipsychotic medication, can cause side effects like increased thirst due to its impact on the body's regulation of water balance. By asking this question, the nurse can assess for potential side effects of the medication and monitor for dehydration.
Choices A, B, and D are less relevant as they do not directly relate to common side effects of olanzapine.
Choice A about decreased taste is not a common side effect of olanzapine.
Choice B about ringing in the ears is more likely related to ototoxic medications.
Choice D about unintentional weight loss is not a common side effect of olanzapine, which is more commonly associated with weight gain.
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: D
Rationale: The correct answer is D: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression. Improvement in depressive symptoms indicates the treatment is effective. Decreased fear of heights (
A) is not a typical outcome of ECT. ECT is not used to treat seizures (
B). ECT may not directly target symptoms of borderline personality disorder (
C).