ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client direct questions about the hallucination. This approach helps the nurse understand the client's experience without dismissing or reinforcing the hallucination. It also promotes therapeutic communication and builds trust.
Choice A would not be appropriate as it validates the hallucination.
Choice B could escalate the situation and increase distress.
Choice D may cause the client to become defensive or feel invalidated. Asking direct questions (
Choice
C) allows the nurse to gather information to provide appropriate care and support.
Question 2 of 5
A nurse is caring for a client who professes a deep and everlasting love for his girlfriend one day and the next day refuses to speak to her or allow her to visit. The nurse recognizes this client behavior as which of the following defense mechanisms?
Correct Answer: B
Rationale: Splitting is characterized by viewing things as all good or all bad, commonly seen in personality disorders.
Question 3 of 5
A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Depression in adolescents often presents with irritability, physical complaints (chronic pain), social withdrawal, and appetite changes.
Question 4 of 5
A nurse is caring for a 9-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about how you are feeling about your son's activities!" This response is appropriate as it shows empathy and allows the mother to express her concerns openly. By actively listening and encouraging her to share her feelings, the nurse can better understand her perspective and provide tailored support and education. It also helps build a trusting relationship between the nurse and the mother.
Choices B, C, and D are incorrect. B suggests an extreme solution of homeschooling without addressing the mother's concerns. C dismisses the mother's fears and does not address her emotional needs. D could potentially alienate the mother by labeling her as overprotective without exploring the underlying reasons for her concerns.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator.” Which of the following findings is this client exhibiting?
Correct Answer: B
Rationale: The correct answer is B: Grandiosity. The client's belief that they possess extraordinary abilities and can achieve unrealistic feats, such as flying home and becoming a U.S. Senator, reflects grandiosity, a common symptom of bipolar disorder's manic phase. This symptom is characterized by an inflated sense of self-importance and unrealistic beliefs about one's abilities. Flight of ideas (choice
A) refers to rapid, disorganized thinking, not necessarily related to grandiosity. Impaired reality testing (choice
C) involves difficulty distinguishing between what is real and what is not, which is not the primary feature exhibited by the client in the scenario. Depersonalization (choice
D) involves feeling detached from oneself, which is not evident in the client's statement.