ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and states that they have given away their personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Can you tell me how you have been feeling lately?" This response shows empathy and allows the client to express their emotions, which is crucial in understanding their mental state and providing appropriate care.
Choice A may come off as judgmental, implying the client's actions were unwarranted.
Choice C minimizes the severity of the client's condition.
Choice D suggests a solution without first understanding the client's feelings.
Question 2 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: B
Rationale: The correct answer is B: "Have you noticed an increase in thirst?" This question is relevant because olanzapine can cause side effects such as increased thirst and dry mouth due to its anticholinergic properties. The nurse should ask about thirst to monitor for potential dehydration or other related issues.
Choices A, C, and D are incorrect because they are not commonly associated with olanzapine use. Decreased taste (
A) is not a typical side effect, unintentional weight loss (
C) is less likely with olanzapine which is known to cause weight gain, and ringing in the ears (
D) is not a common side effect of this medication.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Preoccupation with details. Individuals with obsessive-compulsive personality disorder (OCP
D) often display an intense focus on perfectionism and rigid adherence to rules and details. This preoccupation can manifest in various aspects of their lives, such as work, relationships, and daily routines. This behavior is a key characteristic of OCPD and distinguishes it from other personality disorders.
Incorrect answers:
A: Lack of empathy - While individuals with OCPD may struggle with expressing emotions, the primary feature is not a lack of empathy.
C: Exploitative behavior - Exploitative behavior is not a typical feature of OCPD; it is more commonly associated with antisocial personality disorder.
D: Excessive clinging - Excessive clinging is not a characteristic of OCPD; it may be more indicative of dependent personality disorder.
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 states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Let's discuss what you feel embarrassed about." This response shows empathy and encourages open communication, which is crucial in therapeutic relationships. By inviting the client to share their feelings, the nurse creates a safe space for the client to express themselves and address their concerns.
Choice A is incorrect because it generalizes the client's feelings without directly addressing their specific situation.
Choice C may come across as dismissive and invalidating the client's emotions.
Choice D is incorrect as it assumes that sharing the secret will automatically make the client feel better without considering the potential consequences.