ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You sound upset about today’s session." This response shows empathy and acknowledges the client's feelings, which can help build rapport and trust. It also encourages the client to express their emotions further, leading to a deeper discussion about the situation.
Incorrect responses:
A: "I think you should ignore the comment." This response dismisses the client's feelings and may make them feel unheard or invalidated.
C: "Why do you think that he said that to you?" This response puts the client on the spot and may come off as blaming or interrogative, which can escalate the situation.
D: "I agree that the comment was inappropriate." While this response acknowledges the issue, it does not address the client's emotional state or offer support, which is crucial in this context.
Question 2 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale:
Correct
Answer: 10 mL
Rationale:
1. The child needs 40 mg/day, divided into two doses.
2. Each dose should be 20 mg (40 mg ÷ 2 doses).
3. The available concentration is 10 mg/5 mL.
4.
To administer 20 mg, the nurse should give 10 mL (20 mg ÷ 10 mg/5 mL = 4 mL; 4 mL x 2 = 8 mL).
5. Rounding up to the nearest whole number, the nurse should administer 10 mL per dose.
Summary:
A, B, C, D, E, F, G:
- Incorrect because they do not follow the correct calculation steps to determine the amount of methylphenidate needed per dose.
- Only choice 10 aligns with the proper dosage calculation for the child with ADHD.
Question 3 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Provide written information about the client’s treatment plan. This is important for a client with paranoid personality disorder as it helps establish trust and transparency, reducing their suspicion. Providing written information ensures clarity and consistency in communication, helping to alleviate fears of hidden agendas.
Choice B is incorrect as encouraging countertransference can blur professional boundaries and hinder the therapeutic relationship.
Choice C is incorrect as monitoring for splitting behaviors is more relevant for clients with borderline personality disorder.
Choice D is incorrect as isolating the client goes against the therapeutic goal of promoting social interactions to improve social skills and reduce feelings of being persecuted.
Question 4 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: D
Rationale: The correct answer is D because an increased frequency of visits from a spiritual advisor in response to illness may indicate spiritual distress, seeking additional support. A: Integrating therapy with meditation is a positive coping strategy. B and C: Finding hope and comfort in faith and meditation are signs of spiritual well-being.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: B
Rationale: The correct answer is B: Explore feelings of abandonment. Individuals with borderline personality disorder commonly struggle with intense fear of abandonment, which can greatly impact their social interactions. By exploring these feelings, the nurse can help the client better understand and manage their emotions, ultimately improving their social interactions. Encouraging dependent behaviors (
A) may reinforce maladaptive patterns. Avoiding discussing maladaptive behaviors (
C) can hinder progress in therapy. Assigning the same staff members daily (
D) may provide consistency but does not directly address the client's social interactions.