ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: D
Rationale: The correct answer is D: Decrease anxiety to a tolerable level. In this scenario, the client with OCD is engaging in compulsive behavior (picking up after others) to alleviate their anxiety. This behavior serves as a coping mechanism to reduce the distress caused by obsessive thoughts. By organizing and cleaning, the client feels a temporary sense of relief from their anxiety. Other choices are incorrect because: A would not limit interaction, B doesn't address the anxiety component, and C is more about controlling others instead of self-soothing.
Question 2 of 5
A nurse is caring for a client who has schizophrenia. The client states, "The government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?
Correct Answer: A
Rationale: Persecutory delusions involve irrational beliefs that one is being targeted or harmed by external forces.
Question 3 of 5
A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias?
Correct Answer: D
Rationale: Agoraphobia is the fear of being in open or public spaces, leading to avoidance behavior.
Question 4 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: C
Rationale: The correct answer is C: Plan the client's schedule to allow time for rituals. This is the most appropriate action because accommodating the client's compulsive behaviors by incorporating time for rituals into their schedule can help reduce anxiety and maintain a sense of control for the client. Isolating the client (
A) can worsen their symptoms and is not therapeutic. Confronting the client (
B) about the senseless nature of their behaviors may increase their anxiety and resistance to treatment. Setting strict limits on behaviors (
D) can lead to increased distress and potential escalation of symptoms.
Question 5 of 5
A nurse is assessing a family as a system. Which of the following factors should the nurse include when assessing sociocultural context?
Correct Answer: D
Rationale: The correct answer is D: The family's religious practices. When assessing sociocultural context, understanding the family's religious practices is crucial as it influences beliefs, values, and behaviors within the family system. Religion can impact decision-making, coping mechanisms, and interactions among family members. It provides insight into rituals, traditions, and community connections.
Choices A, B, and C focus more on individual and family dynamics rather than sociocultural context. Option A pertains to personal identity, not sociocultural influences. Option B relates to future aspirations, not immediate sociocultural factors. Option C addresses family structure and roles, but not specifically related to sociocultural context.