ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)
Correct Answer: A, B, D
Rationale: MSE evaluates cognitive function, including memory, emotional expression (affect), and self-care abilities (grooming).
Question 2 of 5
A nurse is caring for a client who has rheumatoid arthritis and tells the nurse that she wears a copper bracelet to help her feel better. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A because it acknowledges and validates the client's feelings without dismissing her beliefs. It shows empathy and supports the therapeutic relationship.
Choice B could come off as confrontational and may lead to the client feeling defensive.
Choice C may make the client feel invalidated and dismissed.
Choice D may be seen as judgmental and could damage the trust between the nurse and client.
Therefore, choice A is the best response to maintain a positive and trusting relationship with the client.
Question 3 of 5
A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?
Correct Answer: A
Rationale: Clients with severe depression may have difficulty processing large amounts of information, so simple, direct communication is best.
Question 4 of 5
How should a nurse address compulsive behaviors in a newly admitted client with OCD?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Setting strict limits on behaviors is the most appropriate approach to address compulsive behaviors in a client with OCD. By setting clear boundaries and limits, the nurse helps the client understand what is acceptable and what is not, which can help reduce the compulsive behaviors over time. This approach establishes a structured environment that promotes consistency and predictability for the client, which is crucial in managing OCD symptoms. It also helps to prevent the reinforcement of compulsive behaviors that can occur with other approaches like allowing additional time for rituals or isolating the client. Confronting the client may lead to resistance and increased anxiety. Encouraging group activities may not directly address the compulsive behaviors.
Question 5 of 5
A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client during meals and snacks. This action promotes a therapeutic relationship and provides emotional support, which can help increase the client's motivation to eat. The nurse can also monitor the client's food intake and provide encouragement. Enrolling the client in a nutritional class (
A) may not address the immediate need for support during meals. Weighing the client daily (
B) is important for monitoring progress but does not directly address the client's emotional needs. Consulting with a chaplain (
C) may be beneficial for spiritual support but does not address the client's nutritional needs.