ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The correct answer is C: Displacement. Displacement is a defense mechanism where one redirects their negative emotions or impulses from the original source to a less threatening target. In this scenario, the client is displacing his anger from his partner onto the nurse by becoming angry and telling her to leave. This behavior helps him avoid facing the real issue with his partner. Denial (
A) involves refusing to acknowledge reality, Compensation (
B) is overemphasizing a trait to offset a perceived weakness, and Rationalization (
D) is providing logical reasoning to justify unacceptable behavior.
Question 2 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by increasing endorphins and reducing stress hormones. Exercise can improve mood, self-esteem, and overall well-being. It also helps regulate sleep patterns and combat feelings of fatigue commonly associated with depression.
Choice A is incorrect as group activities may not always be suitable for someone with major depressive disorder.
Choice B is incorrect as excessive light exposure at night can disrupt sleep patterns.
Choice D is incorrect as it is important for the client to express and process their feelings, including anger, in a healthy way.
Question 3 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I’m so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Tell me the reasons you think your mother is depressed. This response is appropriate because it allows the nurse to gather more information about the client's symptoms directly from the daughter. By understanding the daughter's perspective, the nurse can assess the situation more comprehensively and determine the appropriate course of action.
A: Everyone gets depressed from time to time - This statement minimizes the daughter's concerns and does not address the specific situation at hand. It does not provide a therapeutic response.
B: You shouldn’t worry about this because depressive disorder is easily treated - This response dismisses the daughter's worries and oversimplifies the treatment of depressive disorder, which may not be the case for every individual.
C: Older adults are usually diagnosed with depressive disorder as they age - This statement generalizes and stigmatizes older adults, implying that depression is a normal part of aging, which is not accurate and may not apply to this specific client.
In summary, option D is the most
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a delusion. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ask the client to describe their beliefs about the delusion. By asking the client to describe their beliefs, the nurse demonstrates empathy, active listening, and a desire to understand the client's perspective. This approach can help build a therapeutic relationship, gain insights into the client's thought processes, and potentially identify triggers or underlying emotions contributing to the delusion. It also allows the nurse to assess the client's level of insight and reality testing.
Incorrect
Choices:
A: Allowing the client to focus on the delusion can reinforce the false belief.
B: While impulse control is important, it is not directly related to addressing delusions in schizophrenia.
C: Contradicting the client's beliefs may lead to confrontation and worsen the therapeutic relationship.
Question 5 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is known as aversion therapy, where a negative stimulus (the snap of the rubber band) is paired with the unwanted behavior (checking locks excessively) to reduce the behavior over time. By associating discomfort with the thought of checking the locks, the client can learn to stop the behavior.
Choice A: Asking a family member to check the locks enables avoidance rather than addressing the behavior directly.
Choice B: Focusing on abdominal breathing is a relaxation technique, which may not directly address the behavior of checking locks excessively.
Choice C: Keeping a journal of behavior is a monitoring technique but does not actively interrupt or modify the behavior of checking locks.
In summary, choice D is the most appropriate as it directly targets the unwanted behavior and aims to decrease its frequency by introducing a negative consequence.