ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Initiates social interactions with caregivers. For individuals with autism spectrum disorder, social skills development is a key goal. By initiating social interactions with caregivers, the adolescent can practice communication, build relationships, and enhance social functioning. This outcome focuses on improving social interaction abilities, which is crucial for the adolescent's overall well-being and integration into society.
Other choices are incorrect because:
B: Acknowledging delusions is not typically a characteristic of autism spectrum disorder.
C: Changing behavior due to peer pressure may not be appropriate or beneficial for someone with autism spectrum disorder.
D: Meeting own needs without manipulating others is a positive trait, but it is not specific to the goals of social interaction and communication targeted in this case.
Question 2 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C because the client stating they are unable to eat more than once a day indicates potential malnutrition and a risk to their physical health. This finding requires immediate attention as malnutrition can lead to serious complications.
Choice A relates to grief and anger, which are important but not an immediate priority.
Choice B focuses on guilt, which is also significant but does not pose an immediate threat to physical health.
Choice D is about recalling negative experiences, which may indicate emotional distress but does not present an immediate physical risk.
Question 3 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: D
Rationale: The correct answer is D. Assigning the same staff members daily helps establish consistency and trust, which is crucial for clients with borderline personality disorder who struggle with unstable relationships and fear of abandonment. This intervention promotes continuity of care and helps the client feel more secure. A is incorrect because discussing maladaptive behaviors is essential for therapy. B is incorrect as exploring feelings of abandonment requires professional guidance. C is incorrect as encouraging dependent behaviors can hinder progress.
Question 4 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: The client demonstrates that they are oriented to person, place, and time. This indicates the client's mental status and ability to make informed decisions. Removing restraints when the client is oriented helps ensure their safety and autonomy.
Choice B is incorrect as refusal of medication is not necessarily a reason to remove restraints.
Choice C is incorrect as self-harm risk does not automatically mean restraints should be removed.
Choice D is incorrect as following commands does not indicate the client's cognitive functioning or orientation level.
Question 5 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: D
Rationale: The correct answer is D: "How has this impacted your life?" This question allows the nurse to assess the client's emotional response, coping mechanisms, and overall adjustment to the stroke. By understanding the client's perspective, the nurse can provide tailored support.
A: "Why do you think this has happened?" is not the best choice as it focuses on the cause of the condition rather than the client's coping strategies.
B: "Are you okay with not being able to do some things you used to do?" is limiting and may not capture the full extent of the client's experience.
C: "Is anyone available to assist you with your hygiene?" is too specific and does not address the broader impact of the stroke on the client's life.
In summary, asking the client how the stroke has impacted their life (
D) is the most appropriate question to assess coping mechanisms and provide holistic care.