ATI RN Mental Health 2023 Exam 2 | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Identify the client's current stage of grief. This is the priority because understanding the client's current stage of grief allows the nurse to tailor interventions accordingly. By assessing the client's stage, the nurse can provide targeted support and interventions to help the client process and cope with their grief effectively.


Choice B is incorrect because while informing the client about expected feelings is important, it is not the priority over assessing the current stage of grief.
Choice C is incorrect as physical activities may not be suitable or helpful depending on the client's stage of grief.
Choice D is also incorrect as discussing the use of a spiritual grief counselor should come after assessing the client's current needs and preferences.

Correct Answer: A

Rationale: The correct answer is A: The client is constantly talking. In bipolar disorder, during the manic phase, individuals often exhibit rapid speech, impulsivity, and excessive talking. This behavior is a hallmark of mania. The other choices are incorrect because expressing feelings of inferiority (
B) is more indicative of depression, memory loss (
C) could be a symptom of various conditions but not specific to mania, and sleeping over 10 hours a day (
D) is more characteristic of depression or sedation from medication.

Correct Answer: A

Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.

Correct Answer: A

Rationale: The correct answer is A: Offer the client the medication at the next scheduled dose time. This approach respects the client's autonomy and right to refuse treatment while still providing an opportunity for them to reconsider taking the medication. It maintains a therapeutic nurse-client relationship and promotes trust. Implementing consequences (
B) can lead to a power struggle and undermine the therapeutic alliance. Administering medication via IM injection (
C) without the client's consent violates their rights and is not the first-line approach. Informing the client they do not have the right to refuse (
D) is coercive and disregards their autonomy.

Correct Answer: C

Rationale:
Rationale:
Choice C is correct because improving communication of needs is a key therapeutic goal for clients with borderline personality disorder. Effective communication can help reduce impulsive behaviors and enhance interpersonal relationships. Verbalizing improved mood (
A) may not address the underlying emotional dysregulation. Attending to personal hygiene (
B) is important but may not directly address the core issues of the disorder. Reporting a decrease in hallucinations (
D) is more relevant to psychotic disorders. Other choices are not provided, but focusing on communication skills is crucial for managing this disorder effectively.