ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Sending the older adult client to a rehabilitation facility post-cerebrovascular accident is crucial for optimizing recovery. Early rehabilitation can help improve mobility, function, and quality of life. By stating they have started plans for this, the nurse reassures the partner that appropriate steps are being taken for the client's continued care.
Incorrect
Choices:
B: Dismissing the partner's concerns and focusing solely on the present does not address the partner's need for information and support regarding the client's future care.
C: Making a blanket statement about progress without specific information or reassurance can lead to false hope or confusion for the partner.
D: Redirecting the partner to the provider without offering any information or support can leave the partner feeling overwhelmed and unsupported in navigating the client's care.
Question 2 of 5
A client awaiting surgery expresses fear of having cancer. Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: "I hear that you are concerned about this." This response validates the client's feelings, shows empathy, and acknowledges their fear without making assumptions or dismissing their concerns. It demonstrates active listening and helps build a therapeutic relationship.
Incorrect answers:
A: "Why do you think you have cancer?" - This question may come off as dismissive or probing, potentially making the client feel invalidated.
B: "I don't see any reason for you to worry." - This response invalidates the client's feelings and can increase their anxiety.
C: "That's something to discuss with your provider." - While it is important to involve the provider, this response lacks empathy and does not address the client's immediate emotional needs.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. The nurse should explain that antidepressants often take several weeks to be fully effective. Citalopram, like other antidepressants, typically takes around 4-6 weeks to show significant improvement in depressive symptoms. It is important for the nurse to educate the client about the delayed onset of action to manage expectations and encourage adherence to the treatment plan. Adding an MAOI (choice
A) or changing the medication (choice
C) prematurely is not recommended as the current medication may still be effective with more time. Recommending a sleep study (choice
D) is not necessary at this point as the client's sleep issues are likely related to the underlying depression.
Question 4 of 5
A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how alcohol use affects the client's psychosocial behaviors?
Correct Answer: A
Rationale:
Rationale: Asking how alcohol use affects work performance helps assess psychosocial impact by identifying functional impairment related to alcohol. This question can reveal issues with productivity, relationships, and financial stability. Other options focus on treatment history, age of onset, and mental health, which are important but not directly related to current psychosocial impact.
Question 5 of 5
A nurse is caring for a client who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Setting behavioral limits helps establish expectations for the client’s conduct in the unit.