ATI RN
ATI RN Mental Health 2023 with NGN 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 donβt want to go on living without them.' Which of the following therapeutic responses should the nurse make?
Correct Answer: C
Rationale:
Rationale:
Choice C is the correct answer because it demonstrates active listening and shows concern for the client's well-being. By asking if the client has thought about harming themselves, the nurse assesses suicide risk and can intervene appropriately. This response opens up a dialogue for further exploration of the client's emotional state and provides an opportunity for crisis intervention if needed.
Summary:
A: Incorrect. Making promises about regaining custody can give false hope and is not therapeutic.
B: Incorrect. Prescribing sedatives does not address the underlying emotional distress and may mask the client's feelings.
D: Incorrect. Involving family members in custody issues may not be appropriate and does not address the client's emotional needs.
E, F, G: Not applicable.
Question 2 of 5
A nurse is caring for a client who states, 'I have been having trouble sleeping for the last several months.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer:
A) "You should avoid stressful activities prior to going to sleep."
Rationale:
1. Stressful activities can increase arousal, making it difficult to fall asleep.
2. Avoiding stressors before bed can help the client relax and prepare for sleep.
3. Engaging in calming activities promotes a restful sleep environment.
4. This response addresses the client's sleep issue by suggesting a practical solution.
Summary of Incorrect
Choices:
B) Exercising close to bedtime can increase alertness, making it harder to fall asleep.
C) Taking a nap in the afternoon can disrupt the client's ability to sleep at night.
D) Watching TV in bed can stimulate the brain, making it challenging to unwind and sleep.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Preoccupation with details. Individuals with obsessive-compulsive personality disorder (OCP
D) are characterized by a rigid adherence to rules, orderliness, and perfectionism, leading to a preoccupation with details. This is a key feature of OCPD as these individuals tend to focus excessively on minute details, leading to difficulty in completing tasks efficiently. Lack of empathy (
A), exploitative behavior (
C), and excessive clinging (
D) are not typical findings in OCPD. Lack of empathy is more characteristic of antisocial personality disorder, exploitative behavior is more characteristic of narcissistic personality disorder, and excessive clinging is not a common feature of OCPD.
Question 4 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience difficulties with memory and cognitive function, leading to the inability to recognize familiar objects or people. This is due to the progressive deterioration of brain cells affecting memory and perception. Altered level of consciousness (
A) is not a typical finding in Alzheimer's disease unless there is a medical complication. Excessive motor activity (
C) is not commonly associated with Alzheimer's, as individuals often exhibit decreased motor skills. Rapid mood swings (
D) may occur in some cases, but failure to recognize familiar objects is a more characteristic finding.
Question 5 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Obtain a prescription for seclusion within 30 minutes. This is crucial as seclusion should be prescribed by a healthcare provider promptly to ensure it is appropriate and necessary for the client's safety. Keeping the client in seclusion for a specific time frame (choice
A) may not align with the client's individual needs. Monitoring vital signs (choice
C) and documenting behavior (choice
D) are important but not as time-sensitive as obtaining the prescription. It is essential to prioritize the client's immediate safety by following the appropriate protocols and obtaining the necessary authorization for seclusion promptly.