ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a postpartum client who tells the nurse that she does not want any more children. The client asks which birth control method the nurse would recommend. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Providing a range of options allows for shared decision-making based on the client’s needs and preferences.
Question 2 of 5
A nurse is assessing a client who has post-traumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: C
Rationale: Avoidance of discussing the traumatic event is a key symptom of PTSD.
Question 3 of 5
A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because identifying precipitating factors for rituals helps the nurse understand triggers for OCD behaviors. This knowledge can guide interventions to prevent or manage these behaviors effectively. Discussing coping strategies (
A), teaching relaxation techniques (
C), or providing a structured activity schedule (
D) would be premature without understanding the root cause. In summary, addressing the triggers is crucial in managing OCD behaviors effectively.
Question 4 of 5
A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?
Correct Answer: D
Rationale: Re-experiencing traumatic events through nightmares is a key symptom of PTSD.
Question 5 of 5
A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Set limits for the relationship. Setting limits in a therapeutic relationship helps establish boundaries, maintain professionalism, and create a safe space for the client. Limits provide structure and clarity, helping the client understand expectations and fostering trust. Promoting transference (choice
B) can be harmful as it can distort the client's perception of the nurse. Instructing the client on behavior (choice
C) may feel authoritarian and hinder the development of a collaborative relationship. Engaging in friendly interactions (choice
D) can blur professional boundaries and compromise the therapeutic dynamic.