ATI RN
ATI Mental Health Exam III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the client's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?
Correct Answer: B
Rationale:
Correct
Answer: B - Psychiatric pharmacist
Rationale: The correct choice is the psychiatric pharmacist because they specialize in psychiatric medications and their interactions. They can provide specific insights into how the schizophrenia medications may interact with the client's diabetes medications. Psychiatric pharmacists are knowledgeable about the side effects, contraindications, and potential drug interactions of psychiatric medications, making them the most appropriate team member to address the nurse's concerns.
Summary of other choices:
A: Laboratory technician - Not the best choice as they focus on analyzing samples rather than medication interactions.
C: Psychologist - While they may understand the client's mental health needs, they are not specifically trained in medication interactions.
D: Primary provider - While the primary provider can provide general guidance, a psychiatric pharmacist would have more specialized knowledge in this situation.
Question 2 of 5
A nurse is assisting in the care of a client whose partner has end-stage lung cancer. The client states, 'The doctors say he only has a few months to live, but I know that with treatment he will get better.' The nurse should identify that the client is exhibiting which of the following defense mechanisms?
Correct Answer: B
Rationale: The correct answer is B: Denial. The client is refusing to accept the reality of their partner's terminal illness and is clinging to false hope. Denial is a defense mechanism where individuals avoid facing unpleasant realities by refusing to acknowledge them. In this scenario, the client's statement reflects their denial of the terminal prognosis. The other choices are incorrect because: A: Splitting involves viewing people, situations, or beliefs as all good or all bad, which is not demonstrated here. C: Displacement involves redirecting emotions from the original source to a substitute target, which is not evident in this situation. D: Repression involves unconsciously blocking out thoughts or feelings, which is not the case here.
Question 3 of 5
A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?
Correct Answer: B
Rationale: The correct answer is B because including the client's own words provides objective and accurate information about the incident. This ensures competency in documentation by presenting a firsthand perspective.
Choice A is incorrect as it lacks specificity and can lead to misinterpretation.
Choice C is incorrect because subjective descriptions may introduce bias.
Choice D is incorrect as it may not accurately reflect the client's perspective. By choosing option B, the nurse maintains professionalism and adheres to ethical standards in documenting the incident.
Question 4 of 5
A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, 'I don't know why you think I need therapy. I am fine without it.' Which of the following responses by the nurse indicates a therapeutic response?
Correct Answer: D
Rationale: The correct response, D, demonstrates empathy by acknowledging the client's feelings and inviting further discussion. It validates the client's perspective and encourages open communication, fostering a therapeutic relationship.
Choice A is incorrect as it dismisses the client's fear and lacks empathy.
Choice B is incorrect as it contradicts the client's viewpoint, potentially creating resistance.
Choice C is incorrect as it focuses on the provider's opinion rather than the client's feelings.
Question 5 of 5
A nurse wants to improve their therapeutic communication by implementing bias-free language. Which of the following actions should the nurse take to provide bias-free language?
Correct Answer: D
Rationale: The correct answer is D because providing relevant demographics during a treatment team meeting ensures that important information is shared for effective care planning without introducing bias. By sharing only relevant demographics, the nurse avoids making assumptions based on non-essential information.
Choice A is incorrect as religious affiliation may be important for treatment decisions.
Choice B is incorrect as not all demographic data is necessary for every communication.
Choice C is incorrect as recording spirituality as "normal" may not fully respect the client's beliefs.