ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is counseling a client for the management of anxiety. The client is consistently late for appointments and ignores household chores. The client states, "I'm just too stressed. I need someone to take care of me.” The nurse identifies this behavior as an example of which of the following defense mechanisms?
Correct Answer: C
Rationale: The correct answer is C: Regression. Regression is a defense mechanism where an individual reverts to an earlier, less mature stage of development to cope with stress. In this scenario, the client is avoiding responsibilities and seeking to be taken care of, which reflects a regressive behavior to a more dependent and childlike state. Dissociation (
A) involves disconnecting from reality, introjection (
B) is internalizing the beliefs of others, and repression (
D) is the unconscious blocking of unpleasant feelings or memories, none of which fully explain the client's behavior in this context.
Question 2 of 5
Which medication is commonly prescribed to treat obsessive-compulsive disorder (OCD)?
Correct Answer: A
Rationale:
Step-by-step rationale for why Paroxetine (
A) is the correct answer:
1. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat OCD.
2. SSRIs help increase serotonin levels in the brain, which can alleviate OCD symptoms.
3. Clinical studies have shown the effectiveness of Paroxetine in reducing obsessions and compulsions in OCD patients.
4. Lithium (
B), Donepezil (
C), Valproate (
D), and Carbamazepine (E) are not typically prescribed for OCD.
Summary:
Paroxetine is the correct choice due to its specific mechanism of action targeting serotonin levels, supported by clinical evidence. Other options lack efficacy or are not commonly used for OCD treatment.
Question 3 of 5
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Ask him to describe what he is feeling. This response allows the nurse to assess the client's specific concerns and fears regarding the surgery, which can help tailor the support and interventions provided. By encouraging the client to express his emotions, the nurse can establish rapport, build trust, and provide individualized care. Options B, C, and D do not address the client's emotional state directly and may not effectively address his anxiety. Reading material or walking may not alleviate his anxiety, and referring to the pastoral care team may not address his immediate concerns. Overall, option A promotes effective communication and understanding of the client's emotional needs.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: Command hallucinations pose the highest risk as they may direct the client to harm themselves or others.
Question 5 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.