ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been diagnosed with end-stage liver cancer. The nurse recognizes that which of the following responses is an indication that the client is in the denial phase of the grief process?
Correct Answer: C
Rationale: The correct answer is C. In this response, the client is demonstrating denial by refusing to accept the doctor's prognosis of having only a few months to live. This indicates an inability to acknowledge the severity of the situation, a common characteristic of the denial phase in the grief process. The client's belief that the doctor is exaggerating shows a defense mechanism to cope with the overwhelming truth. Options A, B, and D do not exemplify denial. Option A shows anger, Option B indicates depression, and Option D reflects acceptance and resignation, which are not characteristics of denial in the grief process.
Question 2 of 5
A nurse is caring for a client who is refusing to attend group therapy. The client states,I don't know why you think I need therapy. I am fine without it. Which of the following responses by the nurse indicates a therapeutic response?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Option B demonstrates therapeutic communication by showing empathy and understanding towards the client's feelings and inviting further discussion. By encouraging the client to express their thoughts on group therapy, the nurse opens up a dialogue to explore the client's beliefs and concerns, fostering trust and rapport. This approach respects the client's autonomy and promotes client-centered care.
Summary of Incorrect
Choices:
A: This response dismisses the client's feelings and focuses on the provider's opinion, potentially alienating the client and not addressing their concerns.
C: This response minimizes the client's feelings and imposes the nurse's beliefs, which may lead to resistance and hinder the therapeutic relationship.
D: This response invalidates the client's emotions by assuming fear as the underlying issue and may create defensiveness rather than addressing the client's actual concerns.
Question 3 of 5
A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the client's emotions while also asserting boundaries and explaining the nurse's actions. By stating, "I understand that you are angry. However, I followed the appropriate protocol," the nurse shows empathy towards the client's feelings and also maintains professionalism by emphasizing adherence to established procedures. This response validates the client's emotions and provides clarity on the nurse's decision-making process, promoting open communication and understanding.
Choices A, C, and D are incorrect because they lack empathy, fail to acknowledge the client's emotions, or use directive language that may escalate the situation.
Choice A focuses on blaming the client,
Choice C dismisses the client's feelings, and
Choice D is authoritative and may trigger defensiveness.
Question 4 of 5
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: B
Rationale: The correct answer is B because a significant risk factor for suicide is having a close family member who has died by suicide. It indicates a potential increased vulnerability due to exposure to suicide and the impact of grief.
Choice A (religious) and D (socially connected) are protective factors that can reduce suicide risk.
Choice C (consistent sleep) is not directly related to suicide risk.
Extract:
Medical History
• Diagnosed with anorexia nervosa at age 16.
• Participated in a weight restoration program 1 year ago.
Vital Signs
1200:
• Blood pressure: 99/59 mm Hg
• Temperature: 36.6°C (97.9°F)
• Heart rate: 58/min
• Respiratory rate: 20/min
• Oxygen saturation: 99% on room air
• Weight: 44.5 kg (98.1 lb)
• BMI: 18.5
• Height: 165.1 cm (65 in)
Nurses’ Notes
1200:
• 18-year-old client admitted to inpatient psychiatric unit after passing out at home. Client reports using laxatives and “making myself throw up after eating” for about 6 months.
1330:
• Reviewed client’s medical record and new diagnostic results; determined client is at risk for further health issues.
Diagnostic Results
1330:
• Basic metabolic panel:
o Glucose: 72 mg/dL (74 to 106 mg/dL)
o Calcium: 10.5 mg/dL (9 to 10.5 mg/dL)
o Sodium: 130 mEq/L (136 to 145 mEq/L)
o Potassium: 3.5 mEq/L (3.5 to 5 mEq/L)
o Magnesium: 2.2 mEq/L (1.3 to 2.1 mEq/L)
o Chloride: 100 mEq/L (98 to 106 mEq/L)
o BUN: 31 mg/dL (10 to 20 mg/dL)
o Creatinine: 3.0 mg/dL (0.5 to 1.0 mg/dL)
• Additional labs:
o Thyroxine, free (T4): 0.4 ng/dL (0.8 to 2.8 ng/dL)
Question 5 of 5
A nurse is reviewing the medical record of a client. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ----------------- and -------------------- .
| Heart Failure |
| Renal Failure |
| Hypomagnesemia |
| Hypothyroidism |
Correct Answer: B,D
Rationale:
The correct answer is B and D. Renal failure and hypothyroidism are conditions that can put a client at risk for developing various health issues. Renal failure can lead to electrolyte imbalances and fluid overload, increasing the risk of heart failure. Hypothyroidism can affect metabolism and cardiovascular function, also contributing to the risk of heart failure. Hypomagnesemia (choice
C) is a condition characterized by low levels of magnesium in the blood and can lead to symptoms like muscle weakness and cardiac arrhythmias; however, it is not directly mentioned as a risk factor in the sentence provided. Heart failure (choice
A) is a consequence or potential outcome of the conditions mentioned but is not specifically stated as a risk the client is currently facing in the sentence.