ATI RN
ATI RN Mental Health 2023 III 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: B
Rationale: The correct answer is B: "I will tell your provider that you would like a treatment other than massage." This response shows the nurse's understanding and respect for the client's preferences and autonomy. It acknowledges the client's discomfort and offers an alternative solution, ensuring that the client receives appropriate care without causing further distress. Other choices are incorrect because A dismisses the client's feelings, C only addresses the physical aspect, and D might pressure the client to explain their reasons which can be uncomfortable for them.
Question 2 of 5
A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Explain to the client that the duration of grief is highly variable and can last for years. This is the most appropriate action because it acknowledges the client's feelings of depression and grief as valid and normal following the death of a loved one. By explaining the variability in the duration of grief, the nurse provides reassurance and validation to the client's experience. This approach helps in normalizing the client's emotions and promotes a sense of understanding and acceptance.
Choice A is incorrect because recommending solitary activities may worsen the client's depression by isolating them.
Choice C is incorrect as encouraging avoidance of discussing the death can hinder the client's grieving process.
Choice D is incorrect as cautioning against feeling angry can invalidate the client's emotions.
Question 3 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. The nurse should ask which of the following individuals to assist with communication?
Correct Answer: B
Rationale: The correct answer is B: A translator of the same gender as the client. This choice is the most appropriate because it ensures effective communication while also considering the client's comfort and cultural sensitivity. The translator will help bridge the language barrier, ensuring accurate understanding and expression of thoughts and feelings. Choosing a translator of the same gender can further enhance the client's comfort level and promote trust within the group. This option prioritizes clear communication and respects the client's needs.
Choice A is not ideal as the unit secretary may not have the necessary language proficiency for effective communication.
Choice C, another client, may not be reliable or appropriate for maintaining confidentiality.
Choice D, a family member, could introduce potential conflicts of interest and may not be impartial.
Question 4 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Cognitive behavioral therapy. This is because CBT helps address maladaptive thinking patterns and behaviors commonly seen in narcissistic personality disorder. It focuses on challenging and changing negative thought patterns and promoting healthier coping strategies. Schema-focused therapy (
A) is more appropriate for personality disorders like borderline personality disorder. Assertiveness training (
C) may be beneficial, but it does not target the core issues of NPD. Response prevention therapy (
D) is used for conditions like OCD, not NPD.
Question 5 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?
Correct Answer: A
Rationale: The correct answer is A: Establish confidentiality guidelines with the client. This is the first action the nurse should take to build trust and establish a therapeutic relationship. Confidentiality is crucial in mental health care to ensure clients feel safe sharing personal information. Sharing information about the disorder (choice
B) may be important but should come after confidentiality is established. Assisting the client with coping strategies (choice
C) and helping them make behavioral changes (choice
D) are interventions that can be implemented once a trusting relationship is in place.