ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Providing written treatment plan information reduces suspicion and paranoia by offering transparency, aiding trust. Monitoring splitting is relevant but less proactive, isolation is harmful, and countertransference disrupts objectivity.
Question 2 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Informing the client of their right to refuse respects autonomy and addresses anxiety by empowering choice. Encouragement may coerce, family consent is inappropriate unless incompetent, and another nurse’s review doesn’t override refusal.
Question 3 of 5
A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: Implementing seizure precautions is critical for a client with alcohol use disorder admitted while intoxicated. Alcohol withdrawal can lead to seizures, a life-threatening risk, requiring a safe environment and emergency readiness. Orthostatic hypotension monitoring is useful but secondary; methadone is for opioid withdrawal, not alcohol; and acidifying urine is irrelevant to alcohol management.
Question 4 of 5
For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
Correct Answer: D
Rationale: This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety. A client lying about suicidal ideation does not require mandatory reporting unless there is evidence of harm. Smoking marijuana or theft, while potentially illegal, do not typically fall under nursing mandatory reporting unless they directly affect patient care or involve minors.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: Suppression involves consciously avoiding distressing thoughts, as seen here, but delaying a terminal diagnosis indefinitely can be maladaptive, hindering treatment. Compensation, regression, and sublimation involve different mechanisms (overachieving, reverting, or redirecting impulses), not applicable here.