ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Cognitive behavioral therapy. This is because CBT helps address maladaptive thinking patterns and behaviors commonly seen in narcissistic personality disorder. It focuses on challenging and changing negative thought patterns and promoting healthier coping strategies. Schema-focused therapy (
A) is more appropriate for personality disorders like borderline personality disorder. Assertiveness training (
C) may be beneficial, but it does not target the core issues of NPD. Response prevention therapy (
D) is used for conditions like OCD, not NPD.
Question 2 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: A
Rationale: The correct answer is A: Encourage the client to express their feelings. This is crucial because allowing the client to talk about their emotions can help them process their grief and feel supported. Sharing personal stories (
B) may not be appropriate as it shifts the focus from the client. Providing a timeline (
C) for grieving is not effective as everyone grieves differently. Showing sympathy (
D) is important, but encouraging expression of feelings is more proactive in supporting the client.
Question 3 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: A
Rationale: The correct answer is A: Participate in solitary activities with a client who has mania. Assistive personnel can engage in activities that provide social interaction and support for clients with mania. This task does not require specialized nursing knowledge or assessment skills. The other choices involve providing education, obtaining consent, or explaining treatment modalities, which should be done by a licensed nurse due to the complexity and potential risks involved. It is important to delegate tasks that align with the assistive personnel's scope of practice and level of training to ensure safe and effective client care.
Question 4 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: B
Rationale: The correct response is B: Can you tell me how you have been feeling lately? This open-ended question allows the nurse to gather more information about the client's emotional state and assess the severity of the situation. It shows empathy and encourages the client to express their feelings.
Choice A minimizes the client's emotions.
Choice C may come off as judgmental.
Choice D jumps to a solution without addressing the client's current emotional needs.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: B
Rationale: The correct answer is B: Autonomy. Autonomy refers to the principle of respecting an individual's right to make their own decisions regarding their healthcare. By supporting the client's refusal of medications, the nurse is upholding the client's autonomy and right to make choices about their own treatment. Veracity (
A) relates to truthfulness, not applicable here. Beneficence (
C) involves acting in the best interest of the client, which may conflict with autonomy in this case. Justice (
D) pertains to fairness and equal treatment, not relevant to the client's refusal of medications.