ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Let's discuss what you feel embarrassed about." This response shows empathy and encourages open communication, which is crucial in therapeutic relationships. By inviting the client to share their feelings, the nurse creates a safe space for the client to express themselves and address their concerns.
Choice A is incorrect because it generalizes the client's feelings without directly addressing their specific situation.
Choice C may come across as dismissive and invalidating the client's emotions.
Choice D is incorrect as it assumes that sharing the secret will automatically make the client feel better without considering the potential consequences.
Question 2 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: The correct answer is A. A client with mania often exhibits rapid and excessive talking, a common symptom of mania. This behavior is known as pressured speech. Option B, memory loss, is not typically associated with mania but may occur in certain situations. Option C, sleeping over 10 hours a day, is more indicative of depression rather than mania. Option D, expressing feelings of inferiority, is more aligned with symptoms of depression, not mania.
Question 3 of 5
A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Use short, simple sentences when speaking to the client. This is the best action to take as clients with moderate anxiety may have difficulty processing complex information. Using short, simple sentences can help ease the client's anxiety and improve their understanding. Providing detailed explanations (
A) may overwhelm the client, asking questions (
C) may increase anxiety, and showing a 30-minute video (
D) may be too long and not tailored to the client's specific needs.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder and states that they have given away their personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Can you tell me how you have been feeling lately?" This response shows empathy and allows the client to express their emotions, which is crucial in understanding their mental state and providing appropriate care.
Choice A may come off as judgmental, implying the client's actions were unwarranted.
Choice C minimizes the severity of the client's condition.
Choice D suggests a solution without first understanding the client's feelings.
Question 5 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: B
Rationale: The correct answer is B: "Have you noticed an increase in thirst?" This question is relevant because olanzapine can cause side effects such as increased thirst and dry mouth due to its anticholinergic properties. The nurse should ask about thirst to monitor for potential dehydration or other related issues.
Choices A, C, and D are incorrect because they are not commonly associated with olanzapine use. Decreased taste (
A) is not a typical side effect, unintentional weight loss (
C) is less likely with olanzapine which is known to cause weight gain, and ringing in the ears (
D) is not a common side effect of this medication.