ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. The nurse should ask which of the following individuals to assist with communication?
Correct Answer: B
Rationale: The correct answer is B: A translator of the same gender as the client. This choice ensures effective communication while also considering the cultural and gender preferences of the client. The translator will facilitate accurate exchange of information, maintaining confidentiality.
Choice A, a unit secretary, may not have the necessary skills for translation.
Choice C, another client, may not be reliable or appropriate to maintain professional boundaries.
Choice D, a family member, may introduce bias or confidentiality concerns.
Question 2 of 5
A nurse is preparing to administer haloperidol 7 mg IM to a client who is severely agitated. Available is haloperidol injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.4
Rationale: The correct answer is 1.4 mL.
To calculate this, you divide the desired dose by the concentration of the drug. In this case, 7 mg ÷ 5 mg/mL = 1.4 mL. This ensures the client receives the correct dosage.
Choice A (2.5 mL) is incorrect as it would result in administering more than the prescribed dose.
Choice B (0.5 mL) is incorrect as it would not provide the full 7 mg dose needed for the client's condition.
Choice C (3 mL) is incorrect as it would exceed the prescribed dosage, potentially leading to adverse effects.
Choice D, E, F, and G are not valid options as they are not within a reasonable range based on the calculation.
Question 3 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it targets the underlying maladaptive schemas and core beliefs that contribute to the disorder. By addressing these deep-seated patterns, individuals can develop healthier ways of thinking and behaving. Assertiveness training (
A) may not be as effective for addressing the core issues of narcissistic personality disorder. Response prevention therapy (
C) is typically used for anxiety disorders, not personality disorders. Cognitive behavioral therapy (
D) can be helpful but may not specifically target the underlying schemas in the same way as schema-focused therapy.
Question 4 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I will tell your provider that you would like a treatment other than massage." This is the most appropriate choice because it addresses the client's stated discomfort with being touched and shows respect for their autonomy and preferences. By communicating this to the provider, alternative treatment options can be explored that better suit the client's needs and comfort level.
A: Incorrect - Dismissing the client's concerns and assuming the anxiety will lessen is not addressing the root issue of their discomfort.
B: Incorrect - While accommodating by suggesting gloves, it does not address the core issue of the client's aversion to touch.
C: Incorrect - Asking why the client doesn't like to be touched may put them on the spot and does not provide a solution to their discomfort.
Question 5 of 5
A nurse is caring for a client who is receiving end-of-life care. The client states, 'The nurses here don’t do a good job caring for me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale:
Correct Answer: D - Can you tell me more about what is upsetting you?
Rationale: This response demonstrates active listening and empathy. By encouraging the client to express their feelings, the nurse can better understand the underlying issues causing dissatisfaction. It shows willingness to address concerns and provide emotional support.
Incorrect
Choices:
A: Asking about family is not directly addressing the client's expressed concern about nursing care.
B: Anticipatory grieving is not the main issue here, so this response may dismiss the client's feelings.
C: Assuming the nurses are doing a good job without addressing the client's specific concerns may invalidate their feelings.
E, F, G: No information provided, but they are likely incorrect as they do not directly address the client's expressed dissatisfaction.