ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D because it implies prioritizing the partner's perspective over the client's own, which may undermine the client's feelings and needs. This could potentially lead to invalidating the client's emotions and experiences, causing distress.
Choice A shows active listening, B acknowledges the difficulty, and C suggests a collaborative approach. The other choices are not as concerning as they align with therapeutic communication and client-centered care principles.
Question 2 of 5
A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
Correct Answer: C
Rationale: The correct answer is C: The client's withdrawal from alcohol will be managed without complications. This is the highest priority goal because alcohol withdrawal can be life-threatening, requiring close monitoring and interventions to prevent complications such as seizures or delirium tremens. Managing withdrawal safely is crucial before addressing other goals.
Explanation of other choices:
A: Implementing alternative strategies for managing anxiety is important but not the highest priority when the client is at risk for severe alcohol withdrawal.
B: Acknowledging alcohol dependence and the need for treatment is essential but may not be immediately achievable if the client is in acute withdrawal.
D: Rebuilding damaged interpersonal relationships is an important long-term goal but not as urgent as managing alcohol withdrawal to ensure the client's safety.
Question 3 of 5
A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, 'I'm feeling really down and don't want to talk to anyone right now.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Answer B is correct because it demonstrates empathy and support without imposing the need to talk. The nurse respects the client's wish for solitude while offering companionship, which can provide comfort and reassurance.
Choice A is incorrect as it may come across as probing and intrusive.
Choice C, though empathetic, shifts the focus to the nurse's experiences.
Choice D imposes a solution on the client, which may not align with their needs.
Choices E, F, and G are irrelevant and do not address the client's emotional state.
Question 4 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: A
Rationale: The correct answer is A: Plan the client's schedule to allow time for rituals. This approach acknowledges the client's need for structure and routine, which are often central to managing symptoms of OCD. Allowing time for rituals can help reduce anxiety and provide a sense of control for the client. Confronting the client about the senseless nature of the behaviors (
B) may increase distress and resistance. Isolating the client (
C) can exacerbate feelings of shame and worsen symptoms. Setting strict limits (
D) may lead to increased anxiety and potential escalation of symptoms. It is important to approach care for clients with OCD with empathy and understanding, supporting their individual needs while promoting their well-being.
Question 5 of 5
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: The correct answer is A: Identify the client's nutritional status. The first priority for this client is to assess their nutritional status to determine if the weight loss is due to malnutrition or an underlying health issue. This is crucial for developing an appropriate care plan.
Choice B (Provide a structured environment) is not the first priority as it does not address the client's immediate health concerns.
Choice C (Plan a therapeutic diet) is premature without first assessing the client's nutritional status.
Choice D (Request a mental health consult) is important but should come after addressing the client's physical needs.