ATI RN
ATI RN Mental Health 2023 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 a form of aversion therapy, which helps the client interrupt the obsessive thought pattern by associating it with a negative physical sensation. By snapping the rubber band on the wrist, the client creates a negative consequence for the behavior, making it less desirable to continue the checking behavior. This helps in breaking the cycle of obsessive thoughts and compulsive behaviors associated with obsessive-compulsive disorder.
A: Asking a family member to check the locks enables avoidance rather than addressing the underlying issue.
B: Keeping a journal may help increase awareness but does not actively interrupt the thought pattern.
C: Focusing on abdominal breathing is a relaxation technique that may help manage anxiety but does not directly address the obsessive behavior.
E, F, G: These options are not provided in the question and are therefore irrelevant.
Question 2 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: C
Rationale:
Correct Answer: C
Rationale:
1. When the client can follow commands, it indicates cognitive ability and cooperation.
2. Following commands shows the client's ability to understand and respond appropriately.
3. Removal of restraints should be based on the client's ability to cooperate and follow instructions.
4. This criterion ensures the client's safety while also promoting autonomy and dignity.
Summary:
A: Orientation to person, place, and time is important but not directly related to the need for restraint removal.
B: Client's statement about self-harm requires further assessment and intervention but does not directly indicate restraint removal.
D: Medication refusal is a separate issue and does not determine the need for restraint removal.
Question 3 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior every 15 min. This is crucial for monitoring the client's condition and assessing the effectiveness of seclusion. Documenting every 15 minutes allows the nurse to track changes in behavior, ensure safety, and provide necessary interventions promptly. Obtaining the provider's prescription within 60 minutes (
B) is important but not as immediate as documenting behavior. Monitoring vital signs (
C) is essential but should be done more frequently for a physically aggressive client in seclusion. Offering food and fluids (
D) is not a priority in this situation.
Question 4 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Encourage physical activity for the client during the day. Physical activity has been proven to improve mood and reduce symptoms of depression by increasing endorphins and reducing stress hormones. Exercise can also help regulate sleep patterns, improve self-esteem, and provide a sense of accomplishment. It is an evidence-based intervention for major depressive disorder.
Other choices are incorrect:
B: While alternative group activities can be beneficial, physical activity specifically has a direct impact on improving depression symptoms.
C: Discouraging the client from expressing feelings of anger is not therapeutic and may further suppress emotions, worsening the depressive symptoms.
D: Keeping a bright light on at night may disrupt the client's sleep patterns and is not a standard intervention for major depressive disorder.
Question 5 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: C
Rationale: The correct answer is C: Initiates social interactions with caregivers. Adolescents with autism spectrum disorder often struggle with social interactions. By including the outcome of initiating social interactions with caregivers in the plan of care, the nurse aims to promote social skills development and improve the adolescent's ability to engage with others. This outcome focuses on fostering positive relationships and enhancing communication skills, which are crucial for the adolescent's overall well-being and quality of life.
A: Meeting own needs without manipulating others may not directly address the social challenges faced by individuals with autism spectrum disorder.
B: Acknowledging delusions is more related to psychotic disorders rather than autism spectrum disorder.
D: Changing behavior due to peer pressure may not necessarily promote genuine social interactions and may lead to negative outcomes.