ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: Inform the client that feelings of anger are expected. This is the priority because acknowledging and normalizing the client's emotions, such as anger, is crucial in the grieving process. It helps the client feel validated and understood, promoting emotional healing. Discussing the use of a spiritual grief counselor (
A) may be helpful, but addressing the client's immediate emotional needs comes first. Identifying the client's current stage of grief (
B) is important, but addressing their feelings of anger takes precedence. Encouraging participation in physical activities (
D) may be beneficial for overall well-being, but it does not directly address the client's emotional turmoil.
Question 2 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By asking about the client's intentions, the nurse can assess the level of risk and take appropriate measures to prevent harm. The other choices are less critical in this situation. A (suggest making a list of things that make him angry) and D (assist in exploring techniques to reduce stress) are important in managing aggression but do not address immediate safety concerns. C (role modeling healthy ways to express anger) may be helpful in the long term but does not address the current risk of harm to others.
Question 3 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: B
Rationale: The correct answer is B: Autonomy. Autonomy refers to the principle of respecting an individual's right to make their own decisions regarding their healthcare. By supporting the client's refusal of medications, the nurse is upholding the client's autonomy and right to make choices about their own treatment. Veracity (
A) relates to truthfulness, not applicable here. Beneficence (
C) involves acting in the best interest of the client, which may conflict with autonomy in this case. Justice (
D) pertains to fairness and equal treatment, not relevant to the client's refusal of medications.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: Can you tell me how you have been feeling lately? This open-ended question allows the nurse to gather more information about the client's emotional state and assess the severity of the situation. It shows empathy and encourages the client to express their feelings.
Choice A minimizes the client's emotions.
Choice C may come off as judgmental.
Choice D jumps to a solution without addressing the client's current emotional needs.
Question 5 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C. Improvement in manifestations of depression indicates that electroconvulsive therapy is effective. This is because ECT is primarily used for severe depression that has not responded to other treatments. Improvement in symptoms such as low mood, lack of interest, and hopelessness indicates that the treatment is working.
Choice A is incorrect as ECT is not typically used for treating borderline personality disorder.
Choice B is incorrect as ECT does not reduce seizures, but rather induces controlled seizures in the brain.
Choice D is incorrect as fear of heights is not a targeted symptom for ECT treatment.