ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is terminally ill and exhibiting signs of impending death. The client's medical record states that the client is a practicing Roman Catholic. Which of the following nursing actions is appropriate?
Correct Answer: A
Rationale: The correct answer is A: Offer to make arrangements for the Sacrament of the Sick. This is appropriate because the client is a practicing Roman Catholic, and the Sacrament of the Sick is a significant sacrament in the Catholic faith for those who are seriously ill or dying. Providing the opportunity for the client to receive this sacrament aligns with their religious beliefs and can offer comfort and spiritual support during this challenging time.
Choices B, C, and D are incorrect. B may not align with the client's wishes or beliefs, as staying with the body after death is not a universal practice in Roman Catholicism. C assumes that a specific religious ritual must be performed, which may not be the case for all Roman Catholics. D is not relevant to the client's spiritual or emotional needs and does not respect their autonomy or dignity.
Question 2 of 5
A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?
Correct Answer: D
Rationale: Encouraging the spouse to verbalize concerns supports therapeutic communication.
Question 3 of 5
Which action is most therapeutic for a client with panic-level anxiety?
Correct Answer: B
Rationale: The correct answer is B: Remain with the client. This is most therapeutic because it provides immediate support and reassurance, helping to calm the client and prevent further escalation of panic. Remaining with the client shows empathy and offers a sense of security, which can help the client feel safer and more in control of their anxiety.
Choices A, C, and D do not address the immediate need for support and connection that a client in panic-level anxiety requires. Resting in bed may isolate the client, medication may not address the root cause, and joining a therapy group may not be feasible or helpful in the moment. Thus, choice B is the most appropriate response for managing panic-level anxiety effectively.
Question 4 of 5
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: The client’s nutritional status must be assessed first as severe weight loss can lead to life-threatening complications.
Question 5 of 5
A nurse is speaking with the parents of a 4-year-old child who has a terminal illness. The parents tell the nurse they have taken their son's name off the list for little league baseball next season. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: The nurse should respond with empathy and acknowledge the parents' feelings.
Choice A validates the parents' emotions and shows understanding. It conveys empathy and support during a difficult time.
Summary of Incorrect
Choices:
B: This response is dismissive and not relevant to the parents' emotional situation. It does not address the parents' feelings or concerns.
C: This response is overly optimistic and does not acknowledge the parents' decision or emotions. It may come across as insensitive.
D: This response is more probing and may put the parents on the defensive. It does not show empathy or understanding of the parents' emotions.