ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Using past coping mechanisms indicates understanding of self-care by applying effective strategies to manage depression. Staying in bed, avoiding discussion, or relying on others contradict active self-care principles aimed at improving mood and independence.
Question 2 of 5
A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: Asking if the medication causes adverse effects directly addresses potential barriers to adherence. Side effects are a common reason for non-compliance, and identifying them allows for adjustments to improve adherence. Threats of admission are coercive, discussing goals is indirect, and adding another medication without cause could worsen the issue.
Question 3 of 5
A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, 'I no longer want to have the treatment.' Which of the following statements would be an appropriate response from the nurse?
Correct Answer: C
Rationale: This is the correct response because it respects the client's decision and autonomy. It also involves the provider, who can discuss the decision with the client, provide more information, or explore other options. It is a nurse’s responsibility to communicate the client’s decisions to the provider. Telling the client they cannot refuse is incorrect, promising improvement dismisses their concerns, and offering medication without addressing refusal is coercive.
Question 4 of 5
A nurse is assessing a client who has post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,D,E
Rationale: Clients with PTSD often exhibit persistent negative beliefs about self (
A), difficulty sleeping (
D), and trouble concentrating (E) due to hyperarousal and intrusive thoughts. Excessive talking (
B) and blaming others (
C) are not diagnostic criteria, with avoidance or withdrawal being more typical.
Question 5 of 5
A nurse is caring for a group of clients in a mental health facility. Which of the following is a task that can be delegated to assistive personnel?
Correct Answer: B
Rationale: Sitting with a client during mealtimes doesn’t require clinical judgment and can be delegated to assistive personnel, who can provide support and monitor intake. Teaching coping mechanisms, discussing relapse, and administering medication require nursing expertise and cannot be delegated.