ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reality-based focus distracts from hallucinations safely. Sympathy reinforces, denial agitates, and avoiding questions limits insight.
Question 2 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, I can't stand to be touched by another person. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Advocating for an alternative respects touch aversion in panic disorder. Assurance dismisses, gloves don’t solve, and why delays action.
Question 3 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Symptoms suggest lithium toxicity, needing blood levels checked urgently. Improvement is unlikely without action, low sodium worsens it, and continuing risks harm.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Asking about feelings assesses suicide risk after a red flag. Minimizing, why, or groups miss urgency.
Question 5 of 5
A nurse is caring for a client following a physical assault. The client states, I don't remember what happened to me. The nurse should recognize that the client is using which of the following defense mechanisms?
Correct Answer: B
Rationale: Repression blocks traumatic memory post-assault. Rationalization justifies, displacement shifts, denial rejects reality.