ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "We are concerned about you and need to keep you safe." This response acknowledges the client's feelings while emphasizing the nurse's duty to ensure safety. It communicates empathy and concern, which can help build trust. It also sets clear boundaries and reinforces the importance of monitoring for safety in a non-confrontational manner.
Choice A is incorrect because it does not address the immediate safety concerns of the client. Submitting the request to the provider may delay necessary interventions.
Choice C is incorrect as safety contracts are not evidence-based practices and may provide a false sense of security.
Choice D is incorrect as constant observation is not necessary once safety measures have been implemented unless there is an immediate threat.
In summary, choice B is the most appropriate response as it balances empathy with the need for safety and establishes a supportive therapeutic relationship.
Question 2 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 supporting the client's refusal of medications?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to respecting the client's right to make their own decisions about their treatment. By supporting the client's refusal of medications, the nurse is upholding the principle of autonomy and acknowledging the client's right to choose what happens to their own body. This empowers the client and promotes self-determination.
Other choices are incorrect because:
B: Beneficence focuses on doing good for the client, which would involve ensuring the client receives necessary treatment.
C: Veracity relates to truth-telling, not the client's right to refuse treatment.
D: Justice is about fairness and equal treatment, not specifically related to respecting the client's autonomy.
Question 3 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Focus the client on reality-based activities. This is important because redirecting the client's focus to reality-based activities can help ground them and reduce the intensity of hallucinations. By engaging in activities that connect them to the present moment, the client can gain a sense of control and stability.
Choice A is incorrect as denying the client's experience can lead to mistrust and distress.
Choice B is incorrect as avoiding direct questions may not address the client's needs effectively.
Choice D is incorrect as conveying sympathy alone may not provide the client with coping strategies.
Question 4 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: C
Rationale: The correct answer is C: Explain to the client that the duration of grief is highly variable and can last for years. This is the best action because it validates the client's experience and provides reassurance that prolonged grieving is normal. It helps the client understand that everyone copes with loss differently and that there is no set timeline for the grieving process. This approach promotes empathy and allows the client to feel heard and supported.
Explanation for other choices:
A: Cautioning against feeling angry can invalidate the client's emotions and hinder the therapeutic relationship.
B: Recommending solitary activities may isolate the client further and not address the underlying grief.
D: Encouraging avoidance of discussing the death can prevent the client from processing emotions and seeking support.
Question 5 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: C
Rationale: The correct answer is C: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it focuses on identifying and changing maladaptive schemas and core beliefs. Individuals with narcissistic personality disorder often have distorted self-perceptions and dysfunctional beliefs about themselves and others. Schema-focused therapy helps challenge and modify these deep-rooted beliefs, leading to improved self-awareness and interpersonal relationships. Assertiveness training (
A) may not address the underlying issues of the disorder. Response prevention therapy (
B) is more suitable for conditions like OCD. While cognitive behavioral therapy (
D) can be beneficial, schema-focused therapy specifically targets the core beliefs associated with narcissistic personality disorder.