ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: B
Rationale: The correct initial action is choice B: Talk to the client and identify the specific limits that are required of the client's behavior. This approach focuses on addressing the disruptive behavior directly with the client, setting clear expectations, and establishing boundaries. By communicating with the client, the nurse can help the client understand the impact of their actions and work towards behavior change.
Choice A: Talking to the nursing staff may not directly address the client's behavior and may not lead to immediate resolution.
Choice C: Discussing the problem in a community meeting with other clients present may embarrass the client and not effectively address the behavior.
Choice D: Escorting the client to her room each time may be seen as punitive and may not address the underlying issue causing the disruptive behavior.
In summary, choice B is the most appropriate initial action as it focuses on addressing the behavior directly with the client and setting clear boundaries.
Question 2 of 5
A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "Come with me to an area where we can talk without interruption." This option demonstrates therapeutic communication by acknowledging the client's distress and offering a supportive environment for communication. Moving to a private area allows for a more confidential and focused conversation, fostering a sense of safety and trust. This response also shows empathy and a willingness to actively listen to the client's concerns, which can help alleviate anxiety. Options A, C, and D are incorrect because they do not address the client's immediate emotional needs and may not effectively address the underlying anxiety. Option A generalizes the client's needs without actively listening, option C suggests a generic approach without considering the client's current state, and option D jumps to a medication solution without exploring the client's feelings or needs.
Question 3 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism. Thyroid function tests can help diagnose this condition. Pancreatitis (
A), cholecystitis (
B), and tuberculosis (
C) are not typically associated with major depressive episodes. The nurse should focus on ruling out medical conditions that are more likely to cause mood disturbances.
Therefore, hypothyroidism is the most appropriate condition to investigate in this scenario.
Question 4 of 5
A nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
Correct Answer: B
Rationale: The correct answer is B. This statement implies a biased perspective favoring the partner, potentially invalidating the client's feelings. It is essential for a nurse to remain neutral and empathetic when assisting clients with their concerns, rather than suggesting one viewpoint over another. This could lead to the client feeling unheard or misunderstood. Other options (A, C,
D) demonstrate appropriate therapeutic communication techniques by encouraging the client to express feelings, working collaboratively on a plan, and acknowledging the challenges in relationships.
Question 5 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Clients with Alzheimer's benefit from structured routines and step-by-step guidance.