ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
Correct Answer: C
Rationale:
Correct Answer: C - "We should establish our roles in the initial session."
Rationale: During the orientation phase of the therapeutic relationship, it is crucial to establish clear roles and boundaries between the nurse and the client. This helps set the foundation for a successful therapeutic relationship based on trust and understanding. By discussing and clarifying roles in the initial session, both the nurse and the client can understand their responsibilities and expectations within the therapeutic relationship.
Summary:
A: Discussing resources is important but not specific to the orientation phase.
B: Teaching relaxation exercises may be beneficial but not a priority in the orientation phase.
D: Exploring changing responses to stress is important but not the primary focus in the orientation phase.
Question 2 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: Maintaining adequate hydration is crucial when taking lithium to prevent toxicity. Lithium is excreted through the kidneys, and dehydration can lead to increased lithium levels in the blood. Drinking 2-3 liters of water daily helps to maintain proper lithium levels and reduces the risk of toxicity.
Summary:
A: Reducing sodium intake is not directly related to lithium's effectiveness.
B: Taking lithium on an empty stomach may cause gastrointestinal side effects, but it's not a requirement.
C: Drinking 2-3 liters of water daily is essential to prevent lithium toxicity.
D: Stopping lithium abruptly can trigger a relapse of bipolar symptoms.
Question 3 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease as they may wander and become disoriented. Placing locks at the tops of exterior doors can help prevent them from leaving the home unsupervised, ensuring their safety.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering and may not be necessary for the client's care.
B: Encouraging physical activity prior to bedtime may not be relevant to addressing the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not directly impact the client's safety or wandering behavior.
In summary, choice D is the most appropriate action to address the specific safety concern related to Alzheimer's disease.
Question 4 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.
Question 5 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We can provide a copy of your records, but the therapist's notes are not included." This is the appropriate response as therapist notes are considered confidential and not typically shared directly with clients. Providing a copy of the client's records without the therapist's notes maintains confidentiality and upholds ethical standards.
Choices A, B, and D are incorrect as they do not address the confidentiality of therapist notes and may infringe on the client's privacy. Asking the client if they are unhappy with their treatment (
A), questioning their interest in the therapist's notes (
B), or suggesting they won't benefit from reviewing the notes (
D) are not relevant or respectful responses in this context.