ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: A
Rationale:
Rationale: The nurse should ask "A: How has this impacted your life?" to assess the client's coping abilities. This question allows the client to express their feelings and challenges, providing insight into their emotional adjustment.
Choice B is too direct and may not encourage open communication.
Choice C focuses on practical assistance, not coping mechanisms.
Choice D delves into causation, not coping strategies.
Question 2 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's bathroom trips. This intervention is crucial for clients with bulimia nervosa to prevent purging behaviors. By monitoring bathroom trips, the nurse can assess if the client is engaging in purging after meals. Allowing the client to create their meal schedule (
A) may enable binge-purge cycles. Allowing the client's family to bring food (
B) may not address the underlying issue. Encouraging the client to exercise frequently (
D) can exacerbate compulsive behaviors. Monitoring bathroom trips is essential in managing bulimia nervosa.
Question 3 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because It's too noisy.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep conversations and activities to a minimum during the nighttime. The rationale behind this is that minimizing noise and activities during nighttime promotes a restful environment conducive to sleep. This approach respects the client's need for a quiet environment while also addressing their sleep concern.
Choice A is incorrect because sleeping during the day may disrupt the client's circadian rhythm and is not a sustainable solution.
Choice C is incorrect as turning on the television may not necessarily address the underlying issue of noise disturbance and may even disrupt sleep further.
Choice D is incorrect as it dismisses the client's valid concern and does not offer a practical solution to address the noise concern.
Question 4 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and validates the client's feelings without challenging their belief. This response acknowledges the client's emotions and helps build trust.
Choice B dismisses the client's concerns and may lead to resistance.
Choice C focuses on a logical explanation that may not be helpful in addressing the client's underlying anxiety.
Choice D may come off as interrogative and could make the client feel defensive.
Question 5 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inform the client that they have the legal right to refuse treatment at any time. This is the appropriate action because it upholds the client's autonomy and right to make decisions about their own healthcare. By informing the client of their legal right to refuse treatment, the nurse respects the client's wishes and ensures they are fully informed. It also promotes a therapeutic relationship based on trust and respect.
Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and right to make decisions about their own care. Encouraging the client to have the procedure (
A) goes against their expressed wishes. Obtaining consent from a family member (
B) is not appropriate as the client is capable of making their own decisions. Requesting another nurse to review the procedure (
D) does not address the client's concerns directly.
Therefore, choice C is the most appropriate course of action in this scenario to respect the client's autonomy and rights in decision-making