ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is hospitalized and says to the nurse, "My partner called and told me my boss hired someone to take my place." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Acknowledging the client’s emotions promotes therapeutic communication.
Question 2 of 5
A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It's okay to feel scared. Let's talk about what you are afraid of." This response acknowledges the client's feelings, validates her emotions, and opens the door for further discussion to address her fears and concerns. It promotes therapeutic communication and helps establish trust between the nurse and client.
Choice B is incorrect because it dismisses the client's fear without addressing it directly.
Choice C may create a sense of camaraderie but does not focus on the client's current emotional state.
Choice D is incorrect as it minimizes the client's feelings and shifts the focus away from her fears.
Question 3 of 5
A nurse is caring for a client who is terminally ill and exhibiting signs of impending death. The client's medical record states that the client is a practicing Roman Catholic. Which of the following nursing actions is appropriate?
Correct Answer: A
Rationale: The correct answer is A: Offer to make arrangements for the Sacrament of the Sick. This is appropriate because the client is a practicing Roman Catholic, and the Sacrament of the Sick is a significant sacrament in the Catholic faith for those who are seriously ill or dying. Providing the opportunity for the client to receive this sacrament aligns with their religious beliefs and can offer comfort and spiritual support during this challenging time.
Choices B, C, and D are incorrect. B may not align with the client's wishes or beliefs, as staying with the body after death is not a universal practice in Roman Catholicism. C assumes that a specific religious ritual must be performed, which may not be the case for all Roman Catholics. D is not relevant to the client's spiritual or emotional needs and does not respect their autonomy or dignity.
Question 4 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don't know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I'm hearing that you are concerned that it might turn out that you have cancer." This answer demonstrates active listening, empathy, and acknowledgment of the client's feelings without dismissing or invalidating them. By paraphrasing the client's concerns, the nurse shows understanding and provides an opportunity for the client to express their fears further.
Choice A is incorrect because it challenges the client's perception rather than validating their feelings.
Choice B is dismissive and does not address the client's emotional needs.
Choice C shifts the responsibility to the provider and misses the opportunity for the nurse to offer support.
In summary, choice D is the most appropriate response as it acknowledges the client's emotions, fosters open communication, and demonstrates empathy, which are essential in providing holistic care.
Question 5 of 5
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: C
Rationale: The correct answer is C, supporting the client's wish to refuse prescribed medications, demonstrates the ethical concept of autonomy. Autonomy refers to the client's right to make their own decisions about their care. By supporting the client's wish to refuse medications, the nurse is respecting the client's autonomy and right to make choices about their treatment.
A: Encouraging client feedback about satisfaction with the facility experience relates to client satisfaction but not necessarily autonomy.
B: Explaining unit rules and policies regarding unacceptable behaviors is important for maintaining a safe environment but not directly related to autonomy.
D: Making sure the client understands expectations for participation is important for informed decision-making but not as directly related to autonomy as choice C.