ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia and is experiencing anticipatory grief. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express their feelings. This is important because it allows the client to process their emotions, reduce feelings of isolation, and promote a sense of validation. By expressing their feelings, the client can better cope with anticipatory grief associated with dementia. Providing a timeline (choice
A) might not be helpful as grief is a unique process for each individual. Showing sympathy (choice
C) is important, but encouraging the client to express their feelings is more directly beneficial. Sharing personal stories (choice
D) can shift the focus away from the client's needs. The other choices are not relevant to addressing the client's emotional needs in this situation.
Question 2 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should let my counselor know if I am having trouble sleeping." This statement indicates an understanding of relapse prevention because changes in sleep patterns can be an early warning sign of relapse in schizophrenia. By informing the counselor about trouble sleeping, the client can receive timely support and intervention.
Incorrect options:
A: Avoiding television when hearing voices may be helpful, but it does not directly address relapse prevention.
C: Listening carefully to voices may worsen symptoms and is not a recommended strategy for managing schizophrenia.
D: Avoiding others during a potential relapse can lead to social isolation, which is not conducive to recovery.
Question 3 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: The nurse should prioritize the client's comfort and autonomy. By acknowledging the client's discomfort with massage therapy, the nurse shows respect for the client's preferences and can explore alternative treatment options with the provider. This response promotes client-centered care.
Summary of Other
Choices:
B: This response does not address the client's underlying discomfort with touch and may not adequately address the client's needs.
C: While exploring the client's reasons for not liking touch is important, it does not directly address the immediate issue of the client's preference for a different treatment.
D: Dismissing the client's concerns and suggesting that the anxiety will lessen once the massage begins is not respectful of the client's feelings and may increase their distress.
Question 4 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: B
Rationale: The correct answer is B. Countertransference occurs when a healthcare professional projects their own personal feelings or experiences onto a client. In this scenario, the staff nurse comparing the client to their brother who overcame addiction demonstrates a personal connection that could affect their judgment and care for the client. This statement reflects the staff nurse's unresolved emotions or biases, which can interfere with providing objective and effective care.
Choices A, C, and D focus on the client's behavior or treatment without indicating any personal projection, therefore not exhibiting countertransference.
Question 5 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral anti-anxiety medication. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Offer the client the medication at the next scheduled dose time. This option respects the client's right to refuse treatment while also ensuring that the medication is still available for when the client may choose to take it. Administering the medication via IM injection without the client's consent (
Choice
A) violates the client's autonomy and right to refuse treatment. Informing the client that they do not have the right to refuse the medication (
Choice
C) is unethical and goes against the client's rights. Implementing consequences until the client takes the medication (
Choice
D) is coercive and does not promote a therapeutic relationship. Overall, choice B respects the client's autonomy while still ensuring the medication is available for when the client is ready to take it.