ATI RN
ATI RN Mental Health 2023 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:
Correct Answer: B
Rationale: Option B, "You sound upset about today's session," is the most appropriate response because it acknowledges the client's feelings without dismissing or minimizing them. By reflecting the client's emotions, the nurse demonstrates empathy and validates the client's experience. This response opens up a space for the client to express their feelings further and facilitates a therapeutic dialogue.
Incorrect
Choices:
A: Asking "Why do you think that he said that to you?" places the focus on the client's interpretation rather than validating their emotions.
C: "I think you should ignore the comment" dismisses the client's feelings and does not address the impact of the inappropriate comment.
D: "I agree that the comment was inappropriate" does not address the client's emotional state and may come off as insincere.
Question 2 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Oxygen saturation is not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Phenelzine is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis.
Therefore, assessing the client's blood pressure is essential to monitor for potential hypertensive effects. Bowel sounds are not directly related to the client's reported consumption of pepperoni pizza and phenelzine. Pupil response is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
Question 3 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Initiates social interactions with caregivers. Adolescents with autism spectrum disorder often struggle with social interactions. By including the outcome of initiating social interactions with caregivers in the plan of care, the nurse aims to promote social skills development and improve the adolescent's ability to engage with others. This outcome focuses on fostering positive relationships and enhancing communication skills, which are crucial for the adolescent's overall well-being and quality of life.
A: Meeting own needs without manipulating others may not directly address the social challenges faced by individuals with autism spectrum disorder.
B: Acknowledging delusions is more related to psychotic disorders rather than autism spectrum disorder.
D: Changing behavior due to peer pressure may not necessarily promote genuine social interactions and may lead to negative outcomes.
Question 4 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B, C, D, E
Rationale:
Correct Answer: B, C, D, E
Rationale:
B: Putting locks at the top of doors can prevent the client from wandering at night, reducing the risk of falls.
C: Encouraging physical activity prior to bedtime can help the client feel more tired and improve sleep quality, potentially reducing wandering behavior.
D: Positioning the mattress on the floor can decrease the risk of injury from falls if the client does wander during the night.
E: Installing sensor devices on outside doors can alert the caregiver if the client tries to leave the house, allowing for immediate intervention.
Incorrect
Choices:
A: Placing the client in a reclining chair may not address the underlying issue of wandering and falls, and it may not be a safe or comfortable option for the client.
F:
G:
Question 5 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 through transparency and consistency. Providing written information ensures clarity and minimizes misunderstandings that may trigger paranoia.
Choice B is incorrect as encouraging countertransference can jeopardize the therapeutic relationship.
Choice C is incorrect as splitting behaviors are not typically associated with paranoid personality disorder.
Choice D is incorrect as isolating the client can exacerbate feelings of suspicion and mistrust.