ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: The correct answer is C: Ideas of reference. This behavior is characteristic of ideas of reference in schizophrenia, where individuals believe that others are talking about them or making fun of them. In this scenario, the client's perception is distorted, leading them to misinterpret the group's laughter as directed towards them. This is not magical thinking (
A), which involves believing in irrational connections between actions and events. It is also not delusions of grandeur (
B), which involve an exaggerated sense of self-importance. Additionally, it is not looseness of association (
D), which is characterized by disorganized thinking and speech patterns.
Question 2 of 5
A nurse is planning care for a client who demonstrates manipulative behavior. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Set clear and consistent limits on manipulative behaviors. This is important because setting boundaries helps maintain a therapeutic relationship and ensures the client understands what is acceptable. Allowing manipulation (choice
A) enables the behavior to continue and does not address the underlying issue. Avoiding discussing past behaviors (choice
B) may hinder the client's progress in understanding and changing their behavior. Bargaining with the client (choice
C) can reinforce manipulative behavior and undermine the nurse's authority. Setting clear and consistent limits (choice
D) establishes expectations and promotes accountability, leading to more effective interventions and improved client outcomes.
Question 3 of 5
A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings, expresses care, and shows concern, which can help the client feel supported and understood. Option A deflects the client's feelings by focusing on the family. Option B may come off as confrontational. Option C is open-ended and may not provide immediate support. Options E, F, G are not provided in the question.
Question 4 of 5
A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Avoid wearing necklaces during client care - This is correct as clients with a history of anger and aggression may use any objects within reach as weapons. Removing jewelry can prevent any potential harm.
B: Know the layout of the facility - Important for quick exit strategies and to navigate the environment efficiently during crisis situations, ensuring staff and client safety.
E: Provide immediate verbal feedback for escalating behavior - Timely feedback can help de-escalate the situation and prevent further aggression by addressing the behavior right away.
Incorrect
Choices:
C: Stand directly in front of the client when talking - This may be perceived as confrontational by clients and can escalate aggression.
D: Bring security with you for all client interactions - While security may be necessary in some cases, it is not always feasible or appropriate for every interaction. This choice is too extreme and does not promote therapeutic communication.
Question 5 of 5
A charge nurse is preparing an educational session about addictive disorders for nursing staff. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)
Correct Answer: A, B, C
Rationale: Low self-esteem, family history, and personality disorders are risk factors for addiction. Ethnicity is not a primary factor.