ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C because allowing the client unlimited time for the grieving process is essential in providing emotional support and promoting psychological well-being. This action demonstrates empathy, respect, and understanding towards the client's emotional needs during a difficult time. Changing the subject (
A) can be seen as dismissive and insensitive. Discouraging the client from forming new relationships (
B) is not appropriate as social support is crucial for coping with a terminal illness. Offering advice about treatment choices (
D) may not be relevant at this stage and can add to the client's emotional burden.
Question 2 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: The client states that he is unable to eat more than once a day. This is the priority finding because it indicates potential malnutrition, which can have serious health consequences. The nurse should address this issue first to ensure the client's physical well-being.
Choice A focuses on anger, which is important but not as urgent as addressing nutritional concerns.
Choice B relates to negative memories, which may require emotional support but is not immediate.
Choice C involves feelings of guilt, which can be addressed once the client's physical needs are met. By prioritizing the client's inability to eat, the nurse ensures a holistic approach to care.
Question 3 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Displacement. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this scenario, the client is angry with his partner but instead directs his anger towards the nurse, asking her to leave. This behavior of displacing his anger onto the nurse demonstrates the defense mechanism of displacement.
Choice B: Compensation involves overachieving in one area to make up for a perceived deficiency in another area, which is not demonstrated in this scenario.
Choice C: Denial is refusing to acknowledge reality, which is not evident as the client acknowledges his anger.
Choice D: Rationalization involves creating logical explanations to justify unacceptable behavior, which is not happening here.
Question 4 of 5
A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
Question 5 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Plan a menu with the client. This is important because involving the client in meal planning empowers them to make healthier food choices and develop a structured eating routine, which can help in managing binge eating disorder. Weighing the client every other day (
Choice
A) may exacerbate anxiety and reinforce unhealthy focus on weight. Remaining with the client for 1 hr after meals (
Choice
B) may not address the root causes of binge eating. Offering snacks when the client is hungry (
Choice
C) may not address the underlying issues of the disorder and could potentially encourage unhealthy eating behaviors.