ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has obsessive-compulsive disorder and engages in excessive handwashing. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Allow additional time for rituals. This is important because abruptly stopping the ritual behavior can increase the client's anxiety. By allowing additional time, the nurse can gradually work with the client to reduce the frequency and duration of the rituals in a controlled manner.
Choice A is incorrect as abruptly stopping can be harmful.
Choice C is incorrect as sudden limitation can increase anxiety.
Choice D is incorrect as ignoring compulsions can worsen the client's condition.
Question 2 of 5
A nurse in a community clinic is planning an educational session for a group of clients. Which of the following strategies should the nurse use when teaching about stress management?
Correct Answer: B
Rationale: The correct answer is B: Encourage discussion and practice of coping skills. This strategy is effective because it engages clients actively in their learning process, allowing for exploration and application of coping mechanisms tailored to their individual needs. By encouraging discussion, the nurse can assess clients' understanding and provide personalized support. Options A, C, and D are incorrect because lengthy lectures may not be engaging or effective for all clients, discouraging emotions can hinder the therapeutic process, and teaching a one-size-fits-all technique may not address the diverse needs of the group.
Question 3 of 5
A nurse is caring for a client who has posttraumatic stress disorder related to military service. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assign the same staff to care for the client each day. This consistency helps establish trust and familiarity, promoting a sense of safety for the client with PTSD. It also aids in continuity of care and allows the client to build a therapeutic relationship with the staff. This approach can enhance the client's comfort level and reduce anxiety. Encouraging the client to suppress feelings (
A) is harmful as it can lead to further emotional distress. Addressing the client authoritatively (
C) may trigger feelings of threat or fear, worsening symptoms. Limiting time spent with the client (
D) can disrupt the therapeutic bond and hinder progress.
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: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.
Question 5 of 5
A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Attachment to objects that spin. Children with autism spectrum disorder often exhibit repetitive behaviors or fixations on certain objects or activities, such as spinning objects. This behavior can provide comfort or a sense of predictability. It is important for the nurse to anticipate and address these specific needs in the child's care plan.
A, B, and C are incorrect because children with autism spectrum disorder typically struggle with social communication skills, including initiating conversations, engaging in imaginative play, and forming strong relationships with siblings and peers. These deficits in social interaction are common characteristics of autism spectrum disorder.