ATI RN
ATI RN Mental Health 2023 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: A
Rationale: The correct answer is A: Displacement. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this scenario, the client is angry with his partner but instead directs his anger towards the nurse, asking her to leave. This behavior of displacing his anger onto the nurse demonstrates the defense mechanism of displacement.
Choice B: Compensation involves overachieving in one area to make up for a perceived deficiency in another area, which is not demonstrated in this scenario.
Choice C: Denial is refusing to acknowledge reality, which is not evident as the client acknowledges his anger.
Choice D: Rationalization involves creating logical explanations to justify unacceptable behavior, which is not happening here.
Question 2 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: B
Rationale: The correct answer is B because the client's daily meditation time being interrupted by therapy indicates spiritual distress. Meditation is often a key spiritual practice for individuals to find peace and connection. Therapy disrupting this routine may indicate a lack of spiritual fulfillment or distress. The other choices do not directly indicate spiritual distress as they mostly mention positive aspects of spiritual beliefs or practices.
Choice A shows that faith provides hope, choice C indicates comfort from meditation, and choice D suggests increased support from a spiritual advisor, all of which are positive indicators of spiritual well-being.
Question 3 of 5
A nurse is caring for a client who states, 'Things will never work out.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Have you been thinking about harming yourself?" This response is crucial as it directly addresses the client's statement indicating hopelessness, showing concern for their safety. It opens a dialogue about potential suicidal ideation, allowing the nurse to assess the client's risk and provide appropriate intervention.
Choice B focuses on the reason behind the client's feelings but doesn't address the immediate concern of safety.
Choice C is dismissive and doesn't address the gravity of the client's statement.
Choice D suggests a medication solution without proper assessment. It's important to prioritize safety and risk assessment in such situations.
Question 4 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?
Correct Answer: B
Rationale: The correct answer is B: The client's best friend moved away. This factor may interfere with the client's recovery from coronary artery bypass surgery because social support plays a crucial role in reducing stress and promoting healing. Losing a close friend can lead to feelings of loneliness and isolation, which can negatively impact the client's emotional well-being and recovery process.
A: The client walks their dog daily - Regular physical activity is beneficial for recovery and stress management.
C: The client exercises in the morning - Regular exercise is important for recovery and stress relief.
D: The client has stopped drinking coffee - This alone is unlikely to significantly interfere with recovery.
In summary, choice B is correct as it directly affects the client's emotional state, while the other choices are less likely to interfere with recovery from coronary artery bypass surgery.
Question 5 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: C
Rationale: The correct answer is C: Reports a lack of sleep. In acute mania, individuals often experience decreased need for sleep or insomnia. This symptom is a hallmark of manic episodes in bipolar disorder. Lack of sleep can exacerbate manic symptoms and lead to increased impulsivity and risk-taking behaviors. Writing a detailed daily activity schedule (
A) is more indicative of organized behavior, not necessarily mania. Isolating oneself from others (
B) can be a sign of depression or social withdrawal, not mania. Refusing to engage in conversation (
D) may indicate other issues such as anxiety or communication difficulties.