ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: A
Rationale: The correct answer is A. Assigning the same staff members daily can help establish a consistent and stable relationship, which is crucial for clients with borderline personality disorder who struggle with interpersonal relationships. This consistency can provide a sense of security and trust for the client.
Choice B is incorrect because exploring feelings of abandonment may trigger distress and exacerbate the client's symptoms.
Choice C is incorrect because discussing maladaptive behaviors is essential for therapy and growth.
Choice D is incorrect as encouraging dependent behaviors can perpetuate unhealthy patterns.
Question 2 of 5
A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)
Correct Answer: B, C, D
Rationale: Clients have the right to refuse medication, as part of their autonomy and informed consent rights. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity. Clients maintain the right to an attorney, ensuring their access to legal representation and support. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.
Question 3 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Displacement. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this scenario, the client is angry with his partner but instead directs his anger towards the nurse, asking her to leave. This behavior of displacing his anger onto the nurse demonstrates the defense mechanism of displacement.
Choice B: Compensation involves overachieving in one area to make up for a perceived deficiency in another area, which is not demonstrated in this scenario.
Choice C: Denial is refusing to acknowledge reality, which is not evident as the client acknowledges his anger.
Choice D: Rationalization involves creating logical explanations to justify unacceptable behavior, which is not happening here.
Question 4 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: A
Rationale:
Rationale: The nurse should ask "A: How has this impacted your life?" to assess the client's coping abilities. This question allows the client to express their feelings and challenges, providing insight into their emotional adjustment.
Choice B is too direct and may not encourage open communication.
Choice C focuses on practical assistance, not coping mechanisms.
Choice D delves into causation, not coping strategies.
Question 5 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Asking the client if the medication is causing adverse effects is crucial to understanding potential barriers to adherence.
2. Adverse effects may lead to non-adherence, so addressing this can help improve medication compliance.
3. By addressing adverse effects, the nurse can work with the client to find solutions or alternative medications, enhancing adherence.
Other
Choices:
A: Discussing provider's goals may not directly address the client's reason for non-adherence.
C: Prescribing a second medication without addressing the root cause of non-adherence may not improve compliance.
D: Threatening inpatient care can lead to fear and non-cooperation, which may worsen adherence.