ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use short, simple sentences when speaking to the client. This is the most appropriate action because individuals with moderate anxiety may have difficulty concentrating and processing complex information. Using short, simple sentences can help the client better understand and retain the information provided.
Summary:
B: Showing a 30-minute teaching video can overwhelm the client and may not be effective in addressing the client's anxiety.
C: Providing detailed explanations may confuse the client and increase their anxiety levels.
D: Avoiding asking the client questions can hinder the nurse's ability to assess the client's understanding and address any concerns they may have.
Question 2 of 5
A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Maintain a low level of environmental stimuli. Command hallucinations in schizophrenia can be exacerbated by high levels of environmental stimuli. By minimizing distractions and maintaining a calm environment, the nurse can help reduce the likelihood of the client experiencing these hallucinations. This intervention supports the client's ability to focus and differentiate between reality and hallucinations.
Choice B: Avoid making eye contact when speaking with the client is incorrect because avoiding eye contact may isolate the client further and hinder therapeutic communication.
Choice C: Encourage increased socialization during group therapy is incorrect because group therapy may overwhelm the client and increase the risk of experiencing command hallucinations.
Choice D: Provide reassurance and comfort for the client through touch is incorrect because touch may not be appropriate for all clients and may not directly address the underlying issue of command hallucinations.
Question 3 of 5
A nurse is caring for a client who is going through the grieving process. Which of the following actions should the nurse take to meet the client's spiritual needs?
Correct Answer: A
Rationale: The correct answer is A: Offer to contact the client's spiritual advisor if they have one. This is the most appropriate action because it acknowledges and respects the client's spiritual beliefs and provides support in accessing spiritual guidance. Contacting the client's spiritual advisor can help the client navigate their grief process in a way that aligns with their spiritual beliefs and values.
Choice B is incorrect because changing the subject when the client expresses anger can invalidate their emotions and hinder the grieving process.
Choice C is incorrect as it may isolate the client further, leading to increased feelings of spiritual inadequacy.
Choice D is incorrect as encouraging the client to internalize their feelings can be detrimental to their emotional well-being. It is important to validate and support the client's emotions during the grieving process.
Question 4 of 5
A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Statement A reflects countertransference as it indicates a personal connection between the nurse and the client based on the nurse's past experience with their brother. This can lead to biased care.
Summary:
- Statement B is focused on the client's responsibility.
- Statement C is about the client's behavior during therapy.
- Statement D is about the client's request for a date with the nurse, which is boundary crossing.
Question 5 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
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.