ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: D
Rationale: The correct answer is D: Adopt a neutral attitude when providing care. This approach is appropriate because it helps build trust with a suspicious client by not triggering further distrust. By being neutral, the nurse avoids giving away personal information (
A) which could be perceived as manipulative, respects the client's boundaries by not overwhelming them with frequent interactions (
C), and doesn't passively wait for the client to initiate interaction (
B) which might reinforce their suspicions. Overall, maintaining a neutral attitude demonstrates professionalism, respect, and allows the client to gradually feel more comfortable without feeling pressured or intruded upon.
Question 2 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 3 of 5
A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Sending the older adult client to a rehabilitation facility post-cerebrovascular accident is crucial for optimizing recovery. Early rehabilitation can help improve mobility, function, and quality of life. By stating they have started plans for this, the nurse reassures the partner that appropriate steps are being taken for the client's continued care.
Incorrect
Choices:
B: Dismissing the partner's concerns and focusing solely on the present does not address the partner's need for information and support regarding the client's future care.
C: Making a blanket statement about progress without specific information or reassurance can lead to false hope or confusion for the partner.
D: Redirecting the partner to the provider without offering any information or support can leave the partner feeling overwhelmed and unsupported in navigating the client's care.
Question 4 of 5
A nurse is caring for an older adult client whose provider will discharge him to an extended-care nursing facility. The client asks the nurse why he has to go "to that place." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Encouraging discussion allows the client to express concerns and ensures they are informed about their care plan.
Question 5 of 5
A nurse is assigning a room to a client who is experiencing a manic episode. Which of the following is the most appropriate room selection?
Correct Answer: A
Rationale: A room close to the nursing station allows for close monitoring and quick intervention if necessary.