ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: D
Rationale: The correct answer is D: "I don't feel anything but numbness anymore." This statement indicates emotional blunting, a common symptom of clinical depression where individuals experience a lack of emotions or feeling disconnected. This is a concerning sign as it suggests a significant impact on the client's emotional well-being. Reporting this to the provider is crucial for further evaluation and potential intervention.
Incorrect choices:
A: This statement reflects a normal response to grief, as it acknowledges the time needed for healing.
B: Seeking support from family is a healthy coping mechanism during bereavement.
C: Expressing anger is also a common grief response and does not necessarily indicate clinical depression.
Question 2 of 5
A nurse is assessing a client's communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: Generalizing involves making broad statements that apply universally, without specific evidence or context. The client's statement, 'My partner is always criticizing me,' is a generalization because it suggests a pervasive pattern of behavior without specifying particular instances or situations. Manipulating involves influencing or controlling others for personal gain. The client's statement does not demonstrate manipulation. Distracting involves diverting attention away from the topic at hand. The client's statement is not an example of distraction. Placating involves seeking to please others or avoid conflict by agreeing with them. The client's statement does not demonstrate placating behavior.
Question 3 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Initiates social interactions with caregivers. Adolescents with autism spectrum disorder often struggle with social interactions. By including the outcome of initiating social interactions with caregivers in the plan of care, the nurse aims to promote social skills development and improve the adolescent's ability to engage with others. This outcome focuses on fostering positive relationships and enhancing communication skills, which are crucial for the adolescent's overall well-being and quality of life.
A: Meeting own needs without manipulating others may not directly address the social challenges faced by individuals with autism spectrum disorder.
B: Acknowledging delusions is more related to psychotic disorders rather than autism spectrum disorder.
D: Changing behavior due to peer pressure may not necessarily promote genuine social interactions and may lead to negative outcomes.
Question 4 of 5
A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: C
Rationale: Soy protein is not known to interact adversely with fluoxetine. Echinacea is not known to interact adversely with fluoxetine. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure. Ginkgo biloba is not known to interact adversely with fluoxetine.
Question 5 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B, "You sound upset about today's session," is the most appropriate response because it acknowledges the client's feelings without dismissing or minimizing them. By reflecting the client's emotions, the nurse demonstrates empathy and validates the client's experience. This response opens up a space for the client to express their feelings further and facilitates a therapeutic dialogue.
Incorrect
Choices:
A: Asking "Why do you think that he said that to you?" places the focus on the client's interpretation rather than validating their emotions.
C: "I think you should ignore the comment" dismisses the client's feelings and does not address the impact of the inappropriate comment.
D: "I agree that the comment was inappropriate" does not address the client's emotional state and may come off as insincere.