ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B. By working together to devise a time schedule convenient for the client, the nurse ensures medication adherence. This approach promotes patient autonomy and empowerment, increasing the likelihood of compliance.
Choice A is incorrect as it disregards the client's needs.
Choice C involves unnecessary steps and may delay important changes.
Choice D is incorrect as adherence to specific timing is crucial for some medications.
Choices E, F, and G are omitted due to irrelevance.
Question 2 of 5
A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
Correct Answer: D
Rationale: The correct answer is D because managing alcohol withdrawal without complications is the highest priority to ensure the client's safety and well-being. Withdrawal from alcohol can lead to life-threatening complications such as seizures and delirium tremens. Addressing this goal first is crucial for stabilizing the client physically.
Choice A is important but not the highest priority as immediate physical safety takes precedence.
Choices B and C are important for overall recovery but do not address the immediate risk of withdrawal complications.
Question 3 of 5
A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because rehabilitation is an essential part of the treatment plan for an older adult client who has had a cerebrovascular accident with left-sided weakness. Sending the client to a rehabilitation facility will help them regain strength, mobility, and independence. It is important to start planning for rehabilitation early to optimize outcomes.
Choice B is incorrect because it dismisses the partner's concerns and fails to address the importance of rehabilitation.
Choice C is incorrect because it gives false reassurance and oversimplifies the recovery process.
Choice D is incorrect because it does not provide the necessary information and shifts the responsibility to the provider without offering support or guidance.
Question 4 of 5
A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A, B, D, E
Rationale: The correct actions are A, B, D, and E.
A: Providing small meals frequently helps prevent overwhelming the client and supports gradual weight restoration.
B: Daily weight monitoring is crucial in tracking progress and ensuring the client's safety.
D: Staying with the client during meals and afterward helps prevent purging behaviors and offers support.
E: Offering privileges for sustained weight gain reinforces positive behavior and motivation for recovery.
Incorrect options:
C: Allowing the client to choose meals may lead to restrictive eating habits and hinder weight restoration.
F: No information given.
G: No information given.
Question 5 of 5
A nurse is caring for a client who has delusional behavior and states, "I can't go to group therapy today. I am expecting a high-level official to visit me." The nurse responds, "I understand, but it is time for group therapy, and we expect everyone to attend. Let's walk over together.” For which of the following reasons is the nurse's response considered therapeutic?
Correct Answer: A
Rationale: The correct answer is A because the nurse's response clearly articulates what is expected of the client, which helps maintain structure and promote accountability. By stating the expectation for the client to attend group therapy, the nurse is establishing boundaries and reinforcing the therapeutic environment. This approach helps the client understand the importance of participating in treatment activities.
Choice B is incorrect because empathy towards the delusion may validate the client's false beliefs, which is not therapeutic in this context.
Choice C is incorrect as the response is not primarily aimed at setting limits on manipulative behavior but rather at promoting participation in therapy.
Choice D is incorrect as the response does not involve reflection but rather straightforward communication of expectations.