ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Allow the client unlimited time for the grieving process. This option acknowledges the client's emotional needs and respects their autonomy in dealing with the terminal cancer diagnosis. It is essential for the nurse to provide emotional support and create a safe space for the client to express their feelings without rushing them. Offering unsolicited advice (
A) may not be helpful as the client's treatment choices are personal and may not be the priority at this time. Discouraging the client from forming new relationships (
B) is inappropriate as social connections can provide comfort during difficult times. Changing the subject when the client becomes upset (
D) can invalidate their emotions and hinder the therapeutic relationship.
Question 2 of 5
A nurse is assessing a client who has post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. A client with PTSD often holds persistent negative beliefs about themselves (
A) due to the trauma experienced. Difficulty falling or staying asleep (
D) is a common symptom of PTSD, as the client may experience nightmares or intrusive thoughts. Difficulty concentrating on set tasks (E) is another common finding, as the client may be easily distracted by triggers or memories related to the trauma. Talks excessively (
B) and blames others for own mistakes (
C) are not typical symptoms of PTSD and are more indicative of other conditions or personality traits.
Question 3 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: C
Rationale: The correct answer is C because informing the social worker that the client will be unable to return home after discharge is essential for coordinating appropriate post-discharge care, such as arranging alternative living arrangements or support services. This information is crucial for the social worker to address the client's social and environmental needs.
Choice A is incorrect because difficulty remembering food restrictions is more relevant to the healthcare team managing the client's medical needs, not specifically the social worker.
Choice B is incorrect as addressing frustration with finding an activity relates more to the client's emotional well-being and may be better suited for a counselor or occupational therapist.
Choice D is incorrect as discussing changes in spiritual beliefs is typically more appropriate for a chaplain or spiritual counselor.
Question 4 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Initiates social interactions with caregivers. For individuals with autism spectrum disorder, social skills development is a key goal. By initiating social interactions with caregivers, the adolescent can practice communication, build relationships, and enhance social functioning. This outcome focuses on improving social interaction abilities, which is crucial for the adolescent's overall well-being and integration into society.
Other choices are incorrect because:
B: Acknowledging delusions is not typically a characteristic of autism spectrum disorder.
C: Changing behavior due to peer pressure may not be appropriate or beneficial for someone with autism spectrum disorder.
D: Meeting own needs without manipulating others is a positive trait, but it is not specific to the goals of social interaction and communication targeted in this case.
Question 5 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: C
Rationale: The correct answer is C because the client stating they are unable to eat more than once a day indicates potential malnutrition and a risk to their physical health. This finding requires immediate attention as malnutrition can lead to serious complications.
Choice A relates to grief and anger, which are important but not an immediate priority.
Choice B focuses on guilt, which is also significant but does not pose an immediate threat to physical health.
Choice D is about recalling negative experiences, which may indicate emotional distress but does not present an immediate physical risk.