ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Explain to the client that the duration of grief is highly variable and can last for years. This is the best action because it validates the client's experience and provides reassurance that prolonged grieving is normal. It helps the client understand that everyone copes with loss differently and that there is no set timeline for the grieving process. This approach promotes empathy and allows the client to feel heard and supported.
Explanation for other choices:
A: Cautioning against feeling angry can invalidate the client's emotions and hinder the therapeutic relationship.
B: Recommending solitary activities may isolate the client further and not address the underlying grief.
D: Encouraging avoidance of discussing the death can prevent the client from processing emotions and seeking support.
Question 2 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Rationalization. The client is attributing their blackouts to a seemingly logical and acceptable cause (low blood sugar) rather than acknowledging the true underlying issue of dissociative identity disorder. Rationalization involves creating logical explanations or justifications for behaviors, thoughts, or feelings that are otherwise unacceptable. In this case, the client is using rationalization to avoid facing the uncomfortable reality of their dissociative symptoms.
Incorrect choices:
A: Suppression involves consciously avoiding or pushing away thoughts or feelings. This does not apply to the client's situation.
B: Sublimation involves channeling unacceptable impulses into more socially acceptable behaviors. This is not demonstrated in the client's statement.
C: Projection involves attributing one's own thoughts or feelings to others. This is not evident in the client's statement.
Therefore, rationalization is the most appropriate defense mechanism being used by the client in this scenario.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Preoccupation with details. Individuals with obsessive-compulsive personality disorder (OCP
D) often display an intense focus on perfectionism and rigid adherence to rules and details. This preoccupation can manifest in various aspects of their lives, such as work, relationships, and daily routines. This behavior is a key characteristic of OCPD and distinguishes it from other personality disorders.
Incorrect answers:
A: Lack of empathy - While individuals with OCPD may struggle with expressing emotions, the primary feature is not a lack of empathy.
C: Exploitative behavior - Exploitative behavior is not a typical feature of OCPD; it is more commonly associated with antisocial personality disorder.
D: Excessive clinging - Excessive clinging is not a characteristic of OCPD; it may be more indicative of dependent personality disorder.
Question 4 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D because participating in solitary activities with a client who has mania is a task that can be safely delegated to an assistive personnel. Solitary activities do not require specialized nursing skills and can help the client manage their symptoms in a therapeutic manner. This task can also promote a sense of independence and self-regulation for the client.
A, B, and C are incorrect choices because they involve providing education, obtaining informed consent, or discussing medication-related information, which require a higher level of knowledge, critical thinking, and communication skills that are typically within the scope of practice of a licensed nurse. Delegating these tasks to an assistive personnel could potentially lead to misunderstandings, errors, or legal implications.
Question 5 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral anti-anxiety medication. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Offer the client the medication at the next scheduled dose time. This option respects the client's right to refuse treatment while also ensuring that the medication is still available for when the client may choose to take it. Administering the medication via IM injection without the client's consent (
Choice
A) violates the client's autonomy and right to refuse treatment. Informing the client that they do not have the right to refuse the medication (
Choice
C) is unethical and goes against the client's rights. Implementing consequences until the client takes the medication (
Choice
D) is coercive and does not promote a therapeutic relationship. Overall, choice B respects the client's autonomy while still ensuring the medication is available for when the client is ready to take it.