ATI RN
ATI RN Mental Health 2023 III 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: B
Rationale: The correct answer is B: Explain to the client that the duration of grief is highly variable and can last for years. This is the most appropriate action because it acknowledges the client's feelings of depression and grief as valid and normal following the death of a loved one. By explaining the variability in the duration of grief, the nurse provides reassurance and validation to the client's experience. This approach helps in normalizing the client's emotions and promotes a sense of understanding and acceptance.
Choice A is incorrect because recommending solitary activities may worsen the client's depression by isolating them.
Choice C is incorrect as encouraging avoidance of discussing the death can hinder the client's grieving process.
Choice D is incorrect as cautioning against feeling angry can invalidate the client's emotions.
Question 2 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: The correct answer is B: Blood glucose 256 mg/dL (74 to 106 mg/dL). The nurse should notify the provider because this finding indicates hyperglycemia, a potential side effect of risperidone. Risperidone can lead to metabolic changes, including increased blood glucose levels. Hyperglycemia is a serious concern as it can lead to complications such as diabetic ketoacidosis.
Therefore, prompt notification to the provider is crucial for further evaluation and management.
Other choices are within the normal ranges or close to the normal values for WBC count, sodium, and platelets, which do not require immediate provider notification.
Question 3 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By asking about the client's intentions, the nurse can assess the level of risk and take appropriate measures to prevent harm. The other choices are less critical in this situation. A (suggest making a list of things that make him angry) and D (assist in exploring techniques to reduce stress) are important in managing aggression but do not address immediate safety concerns. C (role modeling healthy ways to express anger) may be helpful in the long term but does not address the current risk of harm to others.
Question 4 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "It must be difficult for you to feel this way after losing your partner." This response validates the partner's feelings without dismissing or minimizing them. It acknowledges the partner's struggle with guilt and offers empathy and understanding. It recognizes the complexity of grief and allows the partner to express their emotions.
Incorrect responses:
A: This response jumps to a solution without acknowledging the partner's emotions first.
B: This response shifts the focus to the nurse's personal experience, which may not be relevant or helpful to the partner.
D: This response dismisses the partner's feelings and may come across as invalidating.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: B
Rationale: The correct answer is B: Autonomy. Autonomy refers to the principle of respecting an individual's right to make their own decisions regarding their healthcare. By supporting the client's refusal of medications, the nurse is upholding the client's autonomy and right to make choices about their own treatment. Veracity (
A) relates to truthfulness, not applicable here. Beneficence (
C) involves acting in the best interest of the client, which may conflict with autonomy in this case. Justice (
D) pertains to fairness and equal treatment, not relevant to the client's refusal of medications.