ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is effective in thought stopping because the physical sensation of snapping the rubber band serves as a distraction and interrupts the obsessive thought pattern related to checking the locks. By associating the act of snapping the rubber band with the thought, the client can become more aware of their thoughts and break the cycle of compulsive behavior.
Incorrect
Choices:
A: Asking a family member to check the locks does not address the underlying issue of obsessive thoughts and may reinforce dependency.
B: Focusing on abdominal breathing is a relaxation technique, not a thought-stopping technique.
C: Keeping a journal may help track behavior but does not actively interrupt the obsessive thoughts.
Question 2 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: A
Rationale: The correct answer is A: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression. Improvement in depressive symptoms indicates the effectiveness of the treatment. Reduced frequency of panic attacks (
B) and seizures (
C) are not directly related to the effectiveness of electroconvulsive therapy for depression. Decreased fear of heights (
D) is not a typical indicator of the effectiveness of this treatment.
Question 3 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. Cocaine is a stimulant drug that increases heart rate and blood pressure.
Therefore, the nurse should expect the client to have hypertension as a result of cocaine use. Bradycardia (
A) is unlikely due to the stimulant effects of cocaine. Lethargy (
C) and hypothermia (
D) are also unlikely as cocaine typically causes increased alertness and can lead to hyperthermia.
Question 4 of 5
A nurse is caring for a client who states, 'Things will never work out.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Have you been thinking about harming yourself?" This is the most appropriate because it directly addresses the client's statement about things not working out, showing concern for their well-being and opening a dialogue about suicide risk.
Choice A is incorrect as it dismisses the client's feelings.
Choice B is not as direct as C in addressing the potential for self-harm.
Choice D is inappropriate as it jumps to a medication solution without assessing the client's safety.
Question 5 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You sound upset about today’s session." This response shows empathy and acknowledges the client's feelings, which can help build rapport and trust. It also encourages the client to express their emotions further, leading to a deeper discussion about the situation.
Incorrect responses:
A: "I think you should ignore the comment." This response dismisses the client's feelings and may make them feel unheard or invalidated.
C: "Why do you think that he said that to you?" This response puts the client on the spot and may come off as blaming or interrogative, which can escalate the situation.
D: "I agree that the comment was inappropriate." While this response acknowledges the issue, it does not address the client's emotional state or offer support, which is crucial in this context.