ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Avoid wearing necklaces during client care - This is correct as clients with a history of anger and aggression may use any objects within reach as weapons. Removing jewelry can prevent any potential harm.
B: Know the layout of the facility - Important for quick exit strategies and to navigate the environment efficiently during crisis situations, ensuring staff and client safety.
E: Provide immediate verbal feedback for escalating behavior - Timely feedback can help de-escalate the situation and prevent further aggression by addressing the behavior right away.
Incorrect
Choices:
C: Stand directly in front of the client when talking - This may be perceived as confrontational by clients and can escalate aggression.
D: Bring security with you for all client interactions - While security may be necessary in some cases, it is not always feasible or appropriate for every interaction. This choice is too extreme and does not promote therapeutic communication.
Question 2 of 5
A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Echolalia, or repeating words/phrases, is a common communication pattern in autism spectrum disorder.
Question 3 of 5
A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because identifying precipitating factors for rituals helps the nurse understand triggers for OCD behaviors. This knowledge can guide interventions to prevent or manage these behaviors effectively. Discussing coping strategies (
A), teaching relaxation techniques (
C), or providing a structured activity schedule (
D) would be premature without understanding the root cause. In summary, addressing the triggers is crucial in managing OCD behaviors effectively.
Question 4 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: The correct answer is C: Ideas of reference. This behavior is characteristic of ideas of reference in schizophrenia, where individuals believe that others are talking about them or making fun of them. In this scenario, the client's perception is distorted, leading them to misinterpret the group's laughter as directed towards them. This is not magical thinking (
A), which involves believing in irrational connections between actions and events. It is also not delusions of grandeur (
B), which involve an exaggerated sense of self-importance. Additionally, it is not looseness of association (
D), which is characterized by disorganized thinking and speech patterns.
Question 5 of 5
A nurse in an acute care facility is admitting an older adult client who has dementia due to Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more and more difficult to care for his wife. Which of the following interventions is the nurse’s priority?
Correct Answer: C
Rationale: The correct answer is C: Ask the partner to talk about his difficulties in caring for the client. The nurse's priority should be to assess the partner's current situation and provide support. By encouraging the partner to talk about his difficulties, the nurse can better understand his needs and concerns. This open communication can help identify specific challenges the partner is facing and enable the nurse to offer appropriate resources and assistance. This intervention focuses on addressing the partner's immediate emotional and practical needs, which is crucial in ensuring the well-being of both the partner and the client.
Summary:
A: Recommending placing the client in a long-term care facility is not the priority as the partner's well-being and coping strategies need immediate attention.
B: Suggesting counseling for the partner is beneficial but addressing his current emotional state and needs should come first.
D: Calling a family meeting may be helpful, but immediate support for the partner should be the priority.