ATI RN
ATI RN Mental Health 2023 Exam 2 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: B
Rationale: The correct answer is B: Focus the client on reality-based activities. This is because redirecting the client's focus to reality-based activities can help ground them and reduce the intensity of the hallucinations. Avoiding direct questions (
A) may not address the client's current distress. Conveying sympathy (
C) is important but may not directly address the hallucinations. Telling the client her experience is not real (
D) may invalidate their feelings and worsen the situation. It is crucial to engage the client in reality-based activities to help them cope effectively.
Question 2 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. The nurse should ask which of the following individuals to assist with communication?
Correct Answer: B
Rationale: The correct answer is B: A translator of the same gender as the client. This choice ensures effective communication while also considering the cultural and gender preferences of the client. The translator will facilitate accurate exchange of information, maintaining confidentiality.
Choice A, a unit secretary, may not have the necessary skills for translation.
Choice C, another client, may not be reliable or appropriate to maintain professional boundaries.
Choice D, a family member, may introduce bias or confidentiality concerns.
Question 3 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: The correct answer is D: Establish confidentiality guidelines with the client. This is the first step to building trust in the nurse-client relationship, essential in mental health care. Confidentiality assures the client that their personal information will be kept private, promoting openness and honesty. By discussing confidentiality guidelines upfront, the nurse shows respect for the client's privacy and fosters a safe environment for them to share sensitive information.
Choices A, B, and C focus on interventions that come later in the nurse-client relationship. Helping the client use coping strategies, make behavioral changes, and educating them about their disorder are important steps but should follow after establishing trust and confidentiality. It is crucial to prioritize building a strong foundation of trust before moving on to other aspects of care.
Question 4 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Implement measures to prevent intentional self-inflicted injury. This is the priority because individuals with borderline personality disorder are at a high risk of self-harm or suicide. By focusing on preventing self-inflicted harm, the nurse ensures the client's safety and addresses the most immediate threat. Encouraging support group attendance (
A) and discussing assertive behavior (
B) are important but not as critical as safety. Assisting the client in maintaining awareness of thoughts and feelings (
D) is valuable for therapy but does not address the immediate risk of harm.
Question 5 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: D
Rationale: The correct answer is D: "I will tell your provider that you would like a treatment other than massage." This response shows respect for the client's preferences and autonomy. It acknowledges the client's discomfort and offers an alternative solution by involving the provider in exploring other treatment options. It demonstrates empathy and promotes client-centered care.
Choice A is incorrect because it dismisses the client's concerns and minimizes their feelings.
Choice B addresses the issue superficially by suggesting gloves without addressing the underlying discomfort.
Choice C focuses on the reason for the dislike rather than addressing the immediate issue of finding an alternative treatment.