ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was admitted to the facility in critical condition following a cerebrovascular accident. The client's son says to the nurse, "I wish I could stay, but I need to go home to see how my children are doing. I really hate to leave." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "You are feeling drawn in two separate directions." This acknowledges the son's conflicting feelings and empathizes with his situation. It shows understanding and validates his emotions, which can help build trust and rapport.
Incorrect Responses:
A: "Perhaps you could call your children to see how they are doing." - This response does not address the son's emotional conflict and does not offer support.
B: "Don't worry. I'll take good care of your parent while you are gone." - This response dismisses the son's feelings and does not address his emotional needs.
D: "There's nothing you can do here. You should go home to your children." - This response is directive and does not acknowledge the son's emotional struggle.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me all the time, and they are trying to poison my food." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You seem to be having very frightening thoughts." This response acknowledges the client's feelings without denying their beliefs. It shows empathy and validates the client's experience, promoting trust and rapport. Answer A is dismissive and may lead to defensiveness. Answer C may come off as confrontational. Answer D may encourage the client to elaborate on paranoid beliefs. Overall, choice B is the most therapeutic and supportive response in this situation.
Question 3 of 5
A nurse is caring for a 48-year-old client who is grieving following the death of her husband seven months ago. The client reports that she has lost 30 lb and is having difficulty sleeping. Which of the following factors indicate the client is experiencing maladaptive grieving?
Correct Answer: C
Rationale: The correct answer is C: The client has lost 30 lb. This indicates maladaptive grieving as significant weight loss is a common physical manifestation of unresolved grief. The weight loss could be due to lack of appetite or neglecting self-care, both of which are concerning signs. Losing a large amount of weight within a short period can negatively impact the client's health and well-being.
Choices A, B, and D are not directly related to maladaptive grieving. Age (
A) and the time since the husband's death (
B) are not indicative of maladaptive grieving, as everyone grieves differently and at their own pace. Difficulty sleeping (
D) is a common symptom of grief but may not necessarily indicate maladaptive grieving on its own.
Question 4 of 5
A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "Let's work together to devise a time schedule that is convenient for you on a daily basis." This answer is correct because it promotes patient-centered care by involving the client in decision-making and ensuring adherence to medication schedules. By collaborating with the client to find a convenient schedule, the nurse increases the likelihood of medication compliance.
Incorrect choices:
A: "You really shouldn't change the schedule we established here in the facility." - This is incorrect as it disregards the client's individual needs and preferences.
C: "I'll have to talk to your provider about switching to an alternative schedule." - This is incorrect as it does not involve the client in decision-making and may cause delays in finding a suitable schedule.
D: "It doesn't really matter what time you take your medications as long as you don't skip any doses." - This is incorrect as specific medication intervals are crucial for therapeutic effectiveness.
Question 5 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly, one of the clients jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Follow the client to determine the cause of the behavior. This is the best course of action as the nurse should ensure the safety and well-being of the client who ran out of the room. By following the client, the nurse can assess the situation, provide support, and prevent any potential harm or escalation of the situation. It also allows the nurse to gather more information about the client's behavior and address any underlying issues.
Choices A, C, and D are incorrect. Asking the group for their thoughts may not address the immediate safety concerns of the client. Ignoring the incident can be dangerous as the client may be in distress. Asking another client to check on the situation is not appropriate as it is the responsibility of the nurse to assess and manage the situation directly.