ATI RN Mental Health 2023 Exam 2 | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: "I will tell your provider that you would like a treatment other than massage." This response shows respect for the client's preferences and autonomy. It acknowledges the client's discomfort and offers an alternative solution by involving the provider in exploring other treatment options. It demonstrates empathy and promotes client-centered care.


Choice A is incorrect because it dismisses the client's concerns and minimizes their feelings.
Choice B addresses the issue superficially by suggesting gloves without addressing the underlying discomfort.
Choice C focuses on the reason for the dislike rather than addressing the immediate issue of finding an alternative treatment.

Correct Answer: D

Rationale:
Correct Answer: D - Can you tell me more about what is upsetting you?


Rationale: This response demonstrates active listening and empathy. By encouraging the client to express their feelings, the nurse can better understand the underlying issues causing dissatisfaction. It shows willingness to address concerns and provide emotional support.

Incorrect

Choices:
A: Asking about family is not directly addressing the client's expressed concern about nursing care.
B: Anticipatory grieving is not the main issue here, so this response may dismiss the client's feelings.
C: Assuming the nurses are doing a good job without addressing the client's specific concerns may invalidate their feelings.
E, F, G: No information provided, but they are likely incorrect as they do not directly address the client's expressed dissatisfaction.

Correct Answer: A

Rationale:
Correct Answer: A


Rationale: Statement A reflects countertransference as it indicates a personal connection between the nurse and the client based on the nurse's past experience with their brother. This can lead to biased care.
Summary:
- Statement B is focused on the client's responsibility.
- Statement C is about the client's behavior during therapy.
- Statement D is about the client's request for a date with the nurse, which is boundary crossing.

Correct Answer: C

Rationale: The correct answer is C: "I will place a sliding bolt lock just above the doorknob." This statement indicates an understanding of the teaching on home safety for a client with advanced Alzheimer's disease because it addresses the specific safety measure of installing a sliding bolt lock to prevent the client from wandering outside unsupervised. This type of lock is a practical strategy to enhance the client's safety by restricting access to potentially dangerous areas.


Choice A is incorrect because notifying law enforcement within 2 hours of the client not being found is not a preventative safety measure.
Choice B is incorrect as giving a photo to the police is reactive and may not prevent the client from wandering.
Choice D is incorrect as ensuring the bedroom is dark at night does not directly address the safety concern of wandering.

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.