ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
Correct Answer: A
Rationale: Chronic alcohol use is the leading cause of liver cirrhosis due to its toxic effects on liver cells.
Question 2 of 5
A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, “I'm being kept in this prison against my will. Please try to get me out.” Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Reassuring the client while maintaining the reality of the situation helps manage delusional thoughts.
Question 3 of 5
A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "Come with me to an area where we can talk without interruption." This option demonstrates therapeutic communication by acknowledging the client's distress and offering a supportive environment for communication. Moving to a private area allows for a more confidential and focused conversation, fostering a sense of safety and trust. This response also shows empathy and a willingness to actively listen to the client's concerns, which can help alleviate anxiety. Options A, C, and D are incorrect because they do not address the client's immediate emotional needs and may not effectively address the underlying anxiety. Option A generalizes the client's needs without actively listening, option C suggests a generic approach without considering the client's current state, and option D jumps to a medication solution without exploring the client's feelings or needs.
Question 4 of 5
A nurse is caring for a client who has delusional behavior and states, "I can't go to group therapy today. I am expecting a high-level official to visit me." The nurse responds, "I understand, but it is time for group therapy, and we expect everyone to attend. Let's walk over together.” For which of the following reasons is the nurse's response considered therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it clearly articulates what is expected of the client, promoting structure and consistency in the therapeutic environment. By stating the expectation for the client to attend group therapy, the nurse establishes boundaries and encourages the client to participate in the treatment plan. This approach helps the client understand the importance of group therapy and fosters accountability.
The other choices are incorrect:
B: Demonstrating empathy towards the delusion may validate the client's false beliefs and hinder therapeutic progress.
C: Setting limits on manipulative behavior may be necessary, but in this scenario, the focus is on setting clear expectations rather than addressing manipulation.
D: Using reflection is a valuable therapeutic technique, but it is not the primary reason why the nurse's response is considered therapeutic in this situation.
Question 5 of 5
A nurse is caring for a client whose partner is requesting to bring the client food from home that is not allowed in the client's dietary plan. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging inclusion of preferred foods within dietary restrictions promotes cooperation and adherence.