ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is going through the grieving process. Which of the following actions should the nurse take to meet the client's spiritual needs?
Correct Answer: A
Rationale: The correct answer is A: Offer to contact the client's spiritual advisor if they have one. This is the most appropriate action because it acknowledges and respects the client's spiritual beliefs and provides support in accessing spiritual guidance. Contacting the client's spiritual advisor can help the client navigate their grief process in a way that aligns with their spiritual beliefs and values.
Choice B is incorrect because changing the subject when the client expresses anger can invalidate their emotions and hinder the grieving process.
Choice C is incorrect as it may isolate the client further, leading to increased feelings of spiritual inadequacy.
Choice D is incorrect as encouraging the client to internalize their feelings can be detrimental to their emotional well-being. It is important to validate and support the client's emotions during the grieving process.
Question 2 of 5
A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Statement A reflects countertransference as it indicates a personal connection between the nurse and the client based on the nurse's past experience with their brother. This can lead to biased care.
Summary:
- Statement B is focused on the client's responsibility.
- Statement C is about the client's behavior during therapy.
- Statement D is about the client's request for a date with the nurse, which is boundary crossing.
Question 3 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer the client the medication at the next scheduled dose time. This approach respects the client's autonomy and right to refuse treatment while still providing an opportunity for them to reconsider taking the medication. It maintains a therapeutic nurse-client relationship and promotes trust. Implementing consequences (
B) can lead to a power struggle and undermine the therapeutic alliance. Administering medication via IM injection (
C) without the client's consent violates their rights and is not the first-line approach. Informing the client they do not have the right to refuse (
D) is coercive and disregards their autonomy.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to the individual's right to make decisions about their own health care. By supporting the client's refusal of medications, the nurse is respecting the client's autonomy and right to make decisions about their own treatment. This empowers the client to have control over their own care.
Choice B: Justice, is incorrect as it pertains to fairness and equal treatment, which is not directly related to the client's refusal of medications.
Choice C: Veracity, is incorrect as it relates to honesty and truthfulness, which is not the main ethical principle demonstrated in this scenario.
Choice D: Beneficence, is incorrect as it refers to the obligation to do good and act in the best interest of the client, which would typically involve encouraging the client to take prescribed medications for their well-being.
Question 5 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression. Improvement in depressive symptoms indicates the treatment is effective. Decreased fear of heights (
A) is not a typical outcome of ECT. ECT is not used to treat seizures (
B). ECT may not directly target symptoms of borderline personality disorder (
C).