ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who professes a deep and everlasting love for his girlfriend one day and the next day refuses to speak to her or allow her to visit. The nurse recognizes this client behavior as which of the following defense mechanisms?
Correct Answer: B
Rationale: Splitting is characterized by viewing things as all good or all bad, commonly seen in personality disorders.
Question 2 of 5
A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A, B, D, E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Providing small meals frequently helps prevent overwhelming the client and supports gradual weight gain.
B: Daily weight monitoring is essential to track the client's progress and assess the effectiveness of the treatment plan.
D: Staying with the client during and after meals helps ensure compliance with the meal plan and prevents purging behaviors.
E: Offering specific privileges for sustained weight gain can serve as positive reinforcement and motivation for the client.
Summary:
C: Allowing the client to choose meals may not always be appropriate as it can lead to food restriction and reinforce maladaptive behaviors.
F, G: Other options not provided in the answer key are not directly related to the management of anorexia nervosa in this context.
Question 3 of 5
A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification?
Correct Answer: D
Rationale: The correct answer is D because it is a misconception about abusers. Abusers often have low self-esteem and use power and control to compensate. They do not typically have high self-esteem.
Choice A is correct as abusers often isolate their partners.
Choice B is accurate as abusers may lack social skills and supports.
Choice C is also correct as many abusers use intimidation to exert power.
Therefore, the statement in choice D is inaccurate and requires clarification.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Psychomotor agitation. In major depressive disorder, psychomotor agitation is a common symptom characterized by restlessness, pacing, handwringing, or tapping. This is due to internal feelings of distress and anxiety. Dismissal of past failures (
A) is not a typical finding, as individuals with major depressive disorder often ruminate on past failures. An increase in energy (
C) is unlikely, as fatigue and low energy levels are common in depression.
Choices D, E, F, and G are not applicable.
Question 5 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.