ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.
Question 2 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer the client the medication at the next scheduled dose time. This approach respects the client's autonomy and right to refuse treatment while still providing an opportunity for them to reconsider taking the medication. It maintains a therapeutic nurse-client relationship and promotes trust. Implementing consequences (
B) can lead to a power struggle and undermine the therapeutic alliance. Administering medication via IM injection (
C) without the client's consent violates their rights and is not the first-line approach. Informing the client they do not have the right to refuse (
D) is coercive and disregards their autonomy.
Question 3 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.
Question 4 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You will need to have your blood drawn." This is because lithium is a medication that requires monitoring of blood levels to prevent toxicity. Lethargy, muscle weakness, and blurred vision are common signs of lithium toxicity. By regularly monitoring blood levels, the nurse can ensure the client is within the therapeutic range and adjust the dosage if needed.
Choice A is incorrect because the symptoms are indicative of toxicity and may not improve on their own.
Choice B is incorrect as continuing the medication without addressing the toxicity can worsen the client's condition.
Choice C is incorrect as decreasing sodium intake is not directly related to managing lithium toxicity.
Question 5 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: Rationale for Correct Answer C: Keeping a sleep diary to promote a consistent sleep schedule is the most appropriate intervention. By tracking sleep patterns, the client and nurse can identify underlying issues impacting sleep and work together to establish a structured routine. This intervention promotes sleep hygiene and helps regulate the client's sleep-wake cycle, potentially improving sleep quality and work performance.
Summary for Incorrect Answers:
A: Taking a 1-hour nap every day may disrupt the client's circadian rhythm and worsen insomnia.
B: Exercising late in the day can increase alertness and make it harder for the client to fall asleep at night.
D: Discontinuing medication without medical guidance can be dangerous and may exacerbate the client's depressive symptoms.