ATI RN
ATI RN Mental Health 2023 Exam 2 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: D
Rationale: The correct response is D: "I will tell your provider that you would like a treatment other than massage." This is the most appropriate choice because it addresses the client's stated discomfort with being touched and shows respect for their autonomy and preferences. By communicating this to the provider, alternative treatment options can be explored that better suit the client's needs and comfort level.
A: Incorrect - Dismissing the client's concerns and assuming the anxiety will lessen is not addressing the root issue of their discomfort.
B: Incorrect - While accommodating by suggesting gloves, it does not address the core issue of the client's aversion to touch.
C: Incorrect - Asking why the client doesn't like to be touched may put them on the spot and does not provide a solution to their discomfort.
Question 2 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).
Question 3 of 5
A nurse is caring for a client in an intensive care unit. The client develops delirium while recovering from surgery. To promote safety, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide environmental cues. Delirium can be triggered by environmental factors. Providing familiar cues, such as a clock or calendar, can help orient the client and decrease confusion, promoting safety. A: Promoting decision making may overwhelm the client. B: Discouraging visits can worsen feelings of disorientation. D: Physical restraints should be avoided as they can increase agitation and risk of injury.
Question 4 of 5
A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Intense efforts to avoid abandonment. Individuals with borderline personality disorder often exhibit fear of abandonment leading to intense efforts to avoid it. This behavior is a key feature of the disorder, characterized by frantic attempts to avoid real or imagined separation. This finding is supported by the Diagnostic and Statistical Manual of Mental Disorders criteria for borderline personality disorder.
Choices A, B, and C are incorrect because while individuals with borderline personality disorder may experience difficulty in maintaining employment, have impulsivity leading to reckless spending or hoarding, and struggle with unstable relationships, the most characteristic feature related to the fear of abandonment is intense efforts to avoid it.
Question 5 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.