ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?
Correct Answer: C
Rationale: Unintentional weight loss in a caregiver may indicate stress and burnout.
Question 2 of 5
A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Redirecting the client to their correct room is the least restrictive intervention while ensuring safety.
Question 3 of 5
A nurse observes a client sitting alone in her room crying. As the nurse approaches her, the client states, "I'm feeling sad. I don't want to talk now." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Staying with the client provides support without pressuring them to talk.
Question 4 of 5
A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "What is it about the adverse effects that concern you?" This response demonstrates active listening and empathy, allowing the nurse to understand the specific concerns of the client and address them effectively. By asking this question, the nurse can provide tailored information and support, helping to alleviate the client's worries.
Other choices are incorrect:
A: This response does not address the client's concerns directly and may not provide the immediate support needed.
B: While support from organizations like the American Cancer Society is valuable, it does not address the client's concerns at that moment.
D: This response dismisses the client's worries and does not offer reassurance or support. It can also instill fear and anxiety in the client.
Question 5 of 5
A nurse is admitting a client who is exhibiting manic behavior. The client reports recent personal stressors including the loss of her mother and a divorce. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Safety is the priority for clients experiencing manic episodes, as they are at risk for self-harm.