ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "What is it about the adverse effects that concern you?" This response demonstrates active listening and empathy, allowing the nurse to understand the specific concerns of the client and address them effectively. By asking this question, the nurse can provide tailored information and support, helping to alleviate the client's worries.
Other choices are incorrect:
A: This response does not address the client's concerns directly and may not provide the immediate support needed.
B: While support from organizations like the American Cancer Society is valuable, it does not address the client's concerns at that moment.
D: This response dismisses the client's worries and does not offer reassurance or support. It can also instill fear and anxiety in the client.
Question 2 of 5
A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I wonder if you are fearful of dying alone." This response shows empathy and understanding towards the client's emotional state. It acknowledges the client's feelings of fear and addresses the underlying concern regarding dying alone. It opens up a conversation for the client to express their emotions and concerns.
Incorrect choices:
A: "We will call your family in time for them to get here." - This choice focuses on logistics rather than addressing the client's emotional needs.
C: "I will make sure a staff member is in your room at all times." - This choice addresses physical safety but does not address the emotional aspect of the client's statement.
D: "I will tell your family of your concern so that they can be here." - This choice does not directly address the client's feelings and may not provide the emotional support needed.
Question 3 of 5
A nurse is assessing a client who has schizophrenia. The client says, "I hear voices telling me what to do." This is an example of which of the following?
Correct Answer: C
Rationale: Auditory hallucinations are common in schizophrenia, involving hearing voices that are not real.
Question 4 of 5
A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?
Correct Answer: C
Rationale: Unintentional weight loss in a caregiver may indicate stress and burnout.
Question 5 of 5
A nurse is caring for a client who has delusional behavior and states, "I can't go to group therapy today. I am expecting a high-level official to visit me." The nurse responds, "I understand, but it is time for group therapy, and we expect everyone to attend. Let's walk over together.” For which of the following reasons is the nurse's response considered therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it clearly articulates what is expected of the client, promoting structure and consistency in the therapeutic environment. By stating the expectation for the client to attend group therapy, the nurse establishes boundaries and encourages the client to participate in the treatment plan. This approach helps the client understand the importance of group therapy and fosters accountability.
The other choices are incorrect:
B: Demonstrating empathy towards the delusion may validate the client's false beliefs and hinder therapeutic progress.
C: Setting limits on manipulative behavior may be necessary, but in this scenario, the focus is on setting clear expectations rather than addressing manipulation.
D: Using reflection is a valuable therapeutic technique, but it is not the primary reason why the nurse's response is considered therapeutic in this situation.