ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Can you tell me how you have been feeling lately?" This response shows empathy and encourages the client to express their emotions, which is crucial in assessing their mental state. By asking about the client's feelings, the nurse can gather important information to evaluate the severity of the depression and assess any suicidal ideation.
Choice B is not the best response as it may come off as judgmental or accusatory.
Choice C minimizes the client's feelings and does not address the seriousness of the situation.
Choice D may be helpful but is not the immediate priority in this scenario.
Question 2 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: D
Rationale: The correct answer is D: "I will tell your provider that you would like a treatment other than massage." This response shows respect for the client's preferences and autonomy. It acknowledges the client's discomfort and offers an alternative solution by involving the provider in exploring other treatment options. It demonstrates empathy and promotes client-centered care.
Choice A is incorrect because it dismisses the client's concerns and minimizes their feelings.
Choice B addresses the issue superficially by suggesting gloves without addressing the underlying discomfort.
Choice C focuses on the reason for the dislike rather than addressing the immediate issue of finding an alternative treatment.
Question 3 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate fall precautions for the client. Lorazepam is a benzodiazepine that can cause sedation and drowsiness, increasing the risk of falls. Fall precautions should be implemented to ensure the client's safety.
Choice A is incorrect because repeating the dose can lead to overdose.
Choice C is incorrect as lorazepam does not typically cause ringing in the ears.
Choice D is inappropriate and unethical unless absolutely necessary for the client's safety, which is not indicated in this scenario.
Question 4 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Can you tell me how you have been feeling lately?" This response shows empathy and encourages the client to express their emotions, which is crucial in assessing their mental state. By asking about the client's feelings, the nurse can gather important information to evaluate the severity of the depression and assess any suicidal ideation.
Choice B is not the best response as it may come off as judgmental or accusatory.
Choice C minimizes the client's feelings and does not address the seriousness of the situation.
Choice D may be helpful but is not the immediate priority in this scenario.