ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has rheumatoid arthritis and tells the nurse that she wears a copper bracelet to help her feel better. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A because it acknowledges and validates the client's feelings without dismissing her beliefs. It shows empathy and supports the therapeutic relationship.
Choice B could come off as confrontational and may lead to the client feeling defensive.
Choice C may make the client feel invalidated and dismissed.
Choice D may be seen as judgmental and could damage the trust between the nurse and client.
Therefore, choice A is the best response to maintain a positive and trusting relationship with the client.
Question 2 of 5
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: The client’s nutritional status must be assessed first as severe weight loss can lead to life-threatening complications.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Significant change in weight. In major depressive disorder (MD
D), clients commonly experience changes in appetite, leading to weight loss or gain. This occurs due to alterations in serotonin levels affecting hunger and satiety. Weight changes are often associated with feelings of worthlessness and guilt in MDD. Hyperexcitability (
B) is not a typical finding in MDD, as individuals with depression often report feeling fatigued or lethargic. Exaggerated response to stimuli (
C) is more indicative of anxiety disorders rather than MDD. Attention-seeking behavior (
D) is not a characteristic symptom of MDD but may be seen in other mental health conditions.
Question 4 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: C
Rationale: A neutral, observational statement acknowledges the client’s effort without assuming improvement.
Question 5 of 5
A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Set limits for the relationship. Setting limits in a therapeutic relationship helps establish boundaries, maintain professionalism, and create a safe space for the client. Limits provide structure and clarity, helping the client understand expectations and fostering trust. Promoting transference (choice
B) can be harmful as it can distort the client's perception of the nurse. Instructing the client on behavior (choice
C) may feel authoritarian and hinder the development of a collaborative relationship. Engaging in friendly interactions (choice
D) can blur professional boundaries and compromise the therapeutic dynamic.