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 caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. The nurse should delegate the task of assisting the client to ambulate post-procedure to the assistive personnel. Here's why: 1. Ambulation after ECT is a routine task that does not require specialized nursing knowledge. 2. It promotes client independence and mobility. 3. It allows the nurse to focus on critical tasks like monitoring the client's vital signs and mental status. 4. Atropine administration (choice
A) requires a licensed nurse's assessment and judgment. Witnessing consent (choice
B) ensures the client's autonomy. Checking the client's condition (choice
C) involves assessing for potential complications, which should be done by a qualified nurse.
Question 3 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Cocaine is a stimulant that increases heart rate and blood pressure. This is due to its effects on the sympathetic nervous system, leading to vasoconstriction and increased cardiac output. Hypothermia (
A) is not expected as cocaine use typically raises body temperature. Lethargy (
B) is unlikely as cocaine is a stimulant that causes increased alertness and energy. Bradycardia (
C) is not a common manifestation of cocaine use since it usually results in tachycardia.
Question 4 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: The client states that he is unable to eat more than once a day. This is the priority finding because it indicates potential malnutrition, which can have serious health consequences. The nurse should address this issue first to ensure the client's physical well-being.
Choice A focuses on anger, which is important but not as urgent as addressing nutritional concerns.
Choice B relates to negative memories, which may require emotional support but is not immediate.
Choice C involves feelings of guilt, which can be addressed once the client's physical needs are met. By prioritizing the client's inability to eat, the nurse ensures a holistic approach to care.
Question 5 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: B
Rationale: The correct answer is B because informing the social worker that the client will be unable to return home after discharge is crucial for coordinating appropriate post-discharge care and support services. The social worker can help assess the client's living situation, connect them with community resources, and facilitate a safe and suitable discharge plan. This information is pertinent for the social worker to address the client's social needs.
Choices A, C, and D are incorrect because while they are important aspects of the client's care, they are more relevant to the nurse's role in addressing the client's immediate physical and emotional needs rather than the social worker's role in coordinating post-discharge care and support services.