ATI RN Mental Health 2023 with NGN

Extract:

Question 1 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?

A. I will tell your provider that you would like a treatment other than massage.'B. I will request that the massage therapist wear gloves during your treatment.'C. Why don’t you like to be touched by others?'D. Don’t worry about it. Your anxiety will lessen once the massage begins.'

Correct Answer: A

Rationale: This respects the client’s autonomy and comfort, advocating for an alternative. Gloves don’t solve touch aversion, probing dismisses boundaries, and minimizing ignores concerns.

Question 2 of 5

A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?

A. The client is constantly talking.B. The client displays memory loss.C. The client is sleeping over 10 hours a day.D. The client expresses feelings of inferiority.

Correct Answer: A

Rationale: Constant talking (pressured speech) reflects mania’s increased energy. Memory loss isn’t specific to mania, excessive sleep indicates depression, and inferiority aligns with depressive episodes, not mania.

Question 3 of 5

A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?

A. Witness an informed consent for a client who is scheduled for electroconvulsive therapy.B. Explain the benefits of light therapy to a client who has depressive disorder.C. Discuss the adverse effects of antianxiety medications with a client who has an anxiety disorder.D. Participate in solitary activities with a client who has mania.

Correct Answer: D

Rationale: Participating in solitary activities requires no clinical judgment and suits assistive personnel. Consent, education, and medication discussions require nursing expertise.

Question 4 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?

A. Assist the client to use new coping strategies.B. Establish confidentiality guidelines with the client.C. Help the client to make behavioral changes.D. Share information with the client about their disorder.

Correct Answer: B

Rationale: Establishing confidentiality builds trust first, foundational for coping, behavior changes, or education in a therapeutic relationship.

Question 5 of 5

A nurse is caring for a client who states, 'I have been having trouble sleeping for the last several months.' Which of the following responses should the nurse make?

A. You should avoid stressful activities prior to going to sleep.'B. You should plan to exercise 2 hours before going to sleep.'C. You should take a 2-hour nap during the afternoon.'D. You should relax by watching a television show in bed before going to sleep.'

Correct Answer: A

Rationale: Avoiding stress before sleep promotes relaxation and good sleep hygiene. Late exercise stimulates, long naps disrupt night sleep, and TV in bed hinders rest.

ATI RN Mental Health 2023 with NGN | Nurselytic

Nurselytic

ATI RN

ATI RN