ATI RN
ATI RN Mental Health 2023 with NGN Questions
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?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: The nurse should prioritize the client's comfort and autonomy. By acknowledging the client's discomfort with massage therapy, the nurse shows respect for the client's preferences and can explore alternative treatment options with the provider. This response promotes client-centered care.
Summary of Other
Choices:
B: This response does not address the client's underlying discomfort with touch and may not adequately address the client's needs.
C: While exploring the client's reasons for not liking touch is important, it does not directly address the immediate issue of the client's preference for a different treatment.
D: Dismissing the client's concerns and suggesting that the anxiety will lessen once the massage begins is not respectful of the client's feelings and may increase their distress.
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: B
Rationale: The correct answer is B. Countertransference occurs when a healthcare professional projects their own personal feelings or experiences onto a client. In this scenario, the staff nurse comparing the client to their brother who overcame addiction demonstrates a personal connection that could affect their judgment and care for the client. This statement reflects the staff nurse's unresolved emotions or biases, which can interfere with providing objective and effective care.
Choices A, C, and D focus on the client's behavior or treatment without indicating any personal projection, therefore not exhibiting countertransference.
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 anti-anxiety medication. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Offer the client the medication at the next scheduled dose time. This option respects the client's right to refuse treatment while also ensuring that the medication is still available for when the client may choose to take it. Administering the medication via IM injection without the client's consent (
Choice
A) violates the client's autonomy and right to refuse treatment. Informing the client that they do not have the right to refuse the medication (
Choice
C) is unethical and goes against the client's rights. Implementing consequences until the client takes the medication (
Choice
D) is coercive and does not promote a therapeutic relationship. Overall, choice B respects the client's autonomy while still ensuring the medication is available for when the client is ready to take it.
Question 4 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy (ECT). Which of the following findings indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D: Improvement in manifestations of depression. This indicates ECT is effective as it is commonly used to treat severe depression. Improvement in depressive symptoms is a key indicator of treatment success.
Incorrect choices: A is incorrect as ECT is not typically used for borderline personality disorder. B is unrelated to ECT. C is incorrect as ECT does not reduce seizures; it is actually used to induce controlled seizures in a therapeutic context.
Question 5 of 5
A nurse is caring for a client following a physical assault. The client states, 'I don’t remember what happened to me.' Which of the following defense mechanisms should the nurse recognize the client is using?
Correct Answer: D
Rationale: The correct answer is D: Repression. Repression is a defense mechanism in which unpleasant or distressing thoughts, memories, or feelings are pushed into the unconscious mind to avoid conscious awareness. In this scenario, the client's inability to remember the assault indicates that their mind has repressed the traumatic event to protect them from emotional distress. Denial (choice
A) involves refusing to acknowledge reality, Rationalization (choice
B) is justifying behaviors, and Displacement (choice
C) is redirecting emotions from the actual source to a substitute target.
Therefore, repression is the most appropriate defense mechanism in this context.