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 is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I don’t want to go on living without them.' Which of the following therapeutic responses should the nurse make?
Correct Answer: C
Rationale:
Rationale:
Choice C is the correct answer because it demonstrates active listening and shows concern for the client's well-being. By asking if the client has thought about harming themselves, the nurse assesses suicide risk and can intervene appropriately. This response opens up a dialogue for further exploration of the client's emotional state and provides an opportunity for crisis intervention if needed.
Summary:
A: Incorrect. Making promises about regaining custody can give false hope and is not therapeutic.
B: Incorrect. Prescribing sedatives does not address the underlying emotional distress and may mask the client's feelings.
D: Incorrect. Involving family members in custody issues may not be appropriate and does not address the client's emotional needs.
E, F, G: Not applicable.
Question 3 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Rationalization. The client is attributing their blackouts to a seemingly logical and acceptable cause (low blood sugar) rather than acknowledging the true underlying issue of dissociative identity disorder. Rationalization involves creating logical explanations or justifications for behaviors, thoughts, or feelings that are otherwise unacceptable. In this case, the client is using rationalization to avoid facing the uncomfortable reality of their dissociative symptoms.
Incorrect choices:
A: Suppression involves consciously avoiding or pushing away thoughts or feelings. This does not apply to the client's situation.
B: Sublimation involves channeling unacceptable impulses into more socially acceptable behaviors. This is not demonstrated in the client's statement.
C: Projection involves attributing one's own thoughts or feelings to others. This is not evident in the client's statement.
Therefore, rationalization is the most appropriate defense mechanism being used by the client in this scenario.
Question 4 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D because participating in solitary activities with a client who has mania is a task that can be safely delegated to an assistive personnel. Solitary activities do not require specialized nursing skills and can help the client manage their symptoms in a therapeutic manner. This task can also promote a sense of independence and self-regulation for the client.
A, B, and C are incorrect choices because they involve providing education, obtaining informed consent, or discussing medication-related information, which require a higher level of knowledge, critical thinking, and communication skills that are typically within the scope of practice of a licensed nurse. Delegating these tasks to an assistive personnel could potentially lead to misunderstandings, errors, or legal implications.
Question 5 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.