ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will place a sliding bolt lock just above the doorknob." This indicates an understanding of the teaching because it demonstrates a proactive measure to prevent the client from wandering and getting lost. The sliding bolt lock can help secure the door and prevent the client from leaving the house unsupervised.
Choice A is incorrect because waiting 2 hours to notify law enforcement may result in delays in finding the client.
Choice B is incorrect as providing a photo to the police is important but does not actively prevent the client from wandering.
Choice D is irrelevant to home safety and Alzheimer's disease management.
Question 2 of 5
A nurse is caring for a client who has a depressive disorder. The client states, 'I don't always go to bed at night, so I get in trouble for falling asleep at work.' Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Keep a sleep diary to promote a consistent sleep schedule. This intervention is appropriate because it helps the client track their sleep patterns, identify any disruptions, and establish a routine for better sleep hygiene. By maintaining a sleep diary, the client and the nurse can pinpoint factors contributing to the sleep disturbances and work together to develop a plan to address them. This intervention focuses on addressing the underlying issue of inconsistent sleep patterns, which can be crucial in managing depressive symptoms.
Option A (Take a 1-hour nap every day) may not be the best choice as it could potentially further disrupt the client's sleep pattern and lead to difficulties falling asleep at night. Option B (Exercise late in the day, preferably before bedtime) may also not be ideal as exercising close to bedtime can actually stimulate the body and make it harder to fall asleep. Option D (Discontinue any medication until your sleep disruption is addressed) is inappropriate as abruptly stopping medication can have negative consequences and should only be done
Question 3 of 5
A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Explain to the client that the duration of grief is highly variable and can last for years. This is the best action because it validates the client's experience and provides reassurance that prolonged grieving is normal. It helps the client understand that everyone copes with loss differently and that there is no set timeline for the grieving process. This approach promotes empathy and allows the client to feel heard and supported.
Explanation for other choices:
A: Cautioning against feeling angry can invalidate the client's emotions and hinder the therapeutic relationship.
B: Recommending solitary activities may isolate the client further and not address the underlying grief.
D: Encouraging avoidance of discussing the death can prevent the client from processing emotions and seeking support.
Question 4 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Rationalization. The client is attributing their blackouts to a seemingly logical and acceptable cause (low blood sugar) rather than acknowledging the true underlying issue of dissociative identity disorder. Rationalization involves creating logical explanations or justifications for behaviors, thoughts, or feelings that are otherwise unacceptable. In this case, the client is using rationalization to avoid facing the uncomfortable reality of their dissociative symptoms.
Incorrect choices:
A: Suppression involves consciously avoiding or pushing away thoughts or feelings. This does not apply to the client's situation.
B: Sublimation involves channeling unacceptable impulses into more socially acceptable behaviors. This is not demonstrated in the client's statement.
C: Projection involves attributing one's own thoughts or feelings to others. This is not evident in the client's statement.
Therefore, rationalization is the most appropriate defense mechanism being used by the client in this scenario.
Question 5 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. Which of the following individuals should the nurse ask to assist with communication?
Correct Answer: C
Rationale: The correct answer is C: A translator of the same gender as the client. This choice is the most appropriate because it ensures effective communication while also considering the client's comfort and cultural sensitivity. By selecting a translator of the same gender as the client, the nurse can help foster trust and rapport, which are essential in a support group setting. This choice also helps in maintaining confidentiality and respecting the client's preferences.
Choice A: A unit secretary who speaks the same language as the client may not have the necessary skills or training for effective translation in a sensitive setting like a support group.
Choice B: Another client who speaks the same language as the client may not have the professional boundaries or neutrality required for accurate translation.
Choice D: Involving a family member of the client may compromise confidentiality and create potential conflicts of interest within the support group dynamic.