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 talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B, "You sound upset about today's session," is the most appropriate response because it acknowledges the client's feelings without dismissing or minimizing them. By reflecting the client's emotions, the nurse demonstrates empathy and validates the client's experience. This response opens up a space for the client to express their feelings further and facilitates a therapeutic dialogue.
Incorrect
Choices:
A: Asking "Why do you think that he said that to you?" places the focus on the client's interpretation rather than validating their emotions.
C: "I think you should ignore the comment" dismisses the client's feelings and does not address the impact of the inappropriate comment.
D: "I agree that the comment was inappropriate" does not address the client's emotional state and may come off as insincere.
Question 3 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Recent head injury. The nurse should report this finding to the provider because bupropion is contraindicated in patients with a history of seizures or recent head trauma. Bupropion lowers the seizure threshold, increasing the risk of seizures in these patients. Hepatitis B infection (choice
A), hypothyroidism (choice
B), and knee arthroplasty 1 month ago (choice
C) are not contraindications for bupropion use in smoking cessation. The presence of a recent head injury poses a significant risk and warrants immediate attention to ensure patient safety.
Question 4 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Displacement. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this scenario, the client is angry with his partner but instead directs his anger towards the nurse, asking her to leave. This behavior of displacing his anger onto the nurse demonstrates the defense mechanism of displacement.
Choice B: Compensation involves overachieving in one area to make up for a perceived deficiency in another area, which is not demonstrated in this scenario.
Choice C: Denial is refusing to acknowledge reality, which is not evident as the client acknowledges his anger.
Choice D: Rationalization involves creating logical explanations to justify unacceptable behavior, which is not happening here.
Question 5 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. When the client can follow commands, it indicates cognitive ability and cooperation.
2. Following commands shows the client's ability to understand and respond appropriately.
3. Removal of restraints should be based on the client's ability to cooperate and follow instructions.
4. This criterion ensures the client's safety while also promoting autonomy and dignity.
Summary:
A: Orientation to person, place, and time is important but not directly related to the need for restraint removal.
B: Client's statement about self-harm requires further assessment and intervention but does not directly indicate restraint removal.
D: Medication refusal is a separate issue and does not determine the need for restraint removal.