ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is taking care of an adult client who is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "It sounds like you're having a difficult time." This response shows empathy and acknowledges the client's feelings without making assumptions. It validates the client's experience and opens the door for further discussion.
Choice A focuses on duration rather than the client's feelings.
Choice C assumes the client still relies on parents for support.
Choice D may come off as accusatory or dismissive.
Question 2 of 5
A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Disorganized speech is a common symptom of acute mania in bipolar disorder. It is indicative of pressured speech, flight of ideas, and racing thoughts, which are characteristic of manic episodes. This finding aligns with the diagnostic criteria for acute mania.
Summary of Other
Choices:
B: Hearing voices directing behavior may suggest psychosis, which can occur in bipolar disorder but is not specific to acute mania.
C: Weight gain is not a hallmark symptom of acute mania; it is more commonly associated with certain medications or depressive episodes.
D: Dressing in all black does not directly support the diagnosis of acute mania; it is not a specific symptom of this condition.
Question 3 of 5
While in group therapy, a nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "Tell me more about your concerns about taking chemotherapy." This response demonstrates active listening and shows empathy towards the client's perspective. By asking the client to elaborate on their concerns, the nurse can gain a better understanding of the client's preferences and fears. This allows for a more personalized approach to care and promotes shared decision-making.
A: This response is dismissive and may make the client feel judged or unheard. It does not address the client's concerns effectively.
C: This response is authoritative and does not respect the client's autonomy or preferences. It may lead to a breakdown in communication and trust between the nurse and client.
D: This response puts undue emphasis on the provider's authority and disregards the client's unique needs and preferences. It does not promote open communication or collaborative decision-making.
Question 4 of 5
A nurse is planning care for a client newly admitted with major depressive disorder. After ensuring safety, which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Rationale: Assessing the client's need for assistance with ADLs is crucial in caring for a client with major depressive disorder to ensure basic self-care needs are met. This is important for maintaining physical health and promoting a sense of well-being. The other options are incorrect as they do not prioritize the client's immediate needs or may even worsen their condition. Asking the client to create her own schedule may be overwhelming, teaching passive communication may hinder effective expression of feelings, and limiting involvement in activities may lead to social isolation. Thus, choice A is the most appropriate action to address the client's well-being and safety.
Question 5 of 5
The following statement best describes which phase in the cycle of battering: 'The woman senses that the man's tolerance for frustration is declining. He becomes angry with little provocation but may be quick to apologize. She may just try to stay out of his way.' The nurse recognizes this statement to be which of the following phases?
Correct Answer: B
Rationale: The correct answer is B: Phase I, also known as the tension-building phase. In this phase, the woman senses the man's decreasing tolerance for frustration, leading to increased tension and anger. He may become easily provoked and then apologize quickly. This phase is characterized by escalating tension and minor incidents triggering anger. The other choices are incorrect because Phase IV is the acute battering incident, Phase III is the honeymoon phase, and Phase II is not provided in the question. Thus, based on the description given, Phase I aligns best with the scenario presented.