ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse notices that a client who has moderate anxiety is pacing the corridor and rambling. As the nurse approaches, the client 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: A
Rationale: The correct answer is A: "Come with me to an area where we can talk without interruption." This response demonstrates active listening, empathy, and a willingness to provide support. By offering a private space for the client to express their feelings, the nurse can establish trust and create a therapeutic environment for effective communication and problem-solving. This approach allows the nurse to assess the client's needs, provide emotional support, and potentially de-escalate the situation.
Incorrect responses:
B: Providers usually recommend relaxation exercises for clients who are as upset as you are.
- This response may come across as dismissive and not address the client's immediate concerns.
C: An antianxiety pill works best for situations like this.
- Jumping to medication without proper assessment and exploration of coping strategies may not be appropriate.
D: Most clients with anxiety issues benefit from lying down.
- This response is generalized and does not consider the individual client's preferences or needs.
Question 2 of 5
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
Correct Answer: B
Rationale: The correct answer is B: "None of the kids at this school like me, and I don't like them either." This statement raises concerns about social relationships and potential feelings of isolation, which are important aspects of adolescent mental health. Addressing these feelings can help prevent negative impacts on the adolescent's self-esteem and overall well-being.
Choices A, C, and D are also important concerns, but they do not necessarily indicate immediate emotional distress or potential for negative consequences as explicitly as choice B.
Choice A focuses on a common physical concern, choice C mentions parental dynamics, and choice D is related to puberty, all of which are valid but may not require immediate attention compared to the social isolation expressed in choice B.
Question 3 of 5
A nurse is providing teaching to a client who has alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?
Correct Answer: B
Rationale:
Correct
Answer: B - "I am powerless against my addiction to alcohol."
Rationale: This statement reflects the key concept of powerlessness in Alcoholics Anonymous (A
A). AA teaches that individuals with alcohol use disorder are powerless over alcohol and need to surrender to a higher power for support. By acknowledging powerlessness, individuals can begin their recovery journey. This statement shows the client understands the fundamental principle of admitting their lack of control over alcohol.
Incorrect
Choices:
A: Incorrect - This statement focuses on external factors causing alcoholism, while AA emphasizes personal responsibility and internal reflection.
C: Incorrect - AA does not blame individuals for their alcoholism but encourages them to take responsibility for their recovery.
D: Incorrect - AA promotes self-reliance and accountability, rather than relying solely on a counselor for recovery.
Question 4 of 5
A nurse is caring for a client diagnosed with schizophrenia. The client states, 'Did you know that I am engaged to the Prince of England?' The nurse should document that the client is experiencing which of the following types of delusions?
Correct Answer: B
Rationale: The correct answer is B: Erotomanic. This type of delusion involves the belief that someone of higher status, such as a celebrity or royalty, is in love with the individual. In this case, the client believes they are engaged to the Prince of England. This delusion is characteristic of erotomanic delusions. Persecution delusions involve feeling targeted, somatic delusions involve beliefs about one's body, and control delusions involve beliefs about being controlled by external forces. In this scenario, none of these other types of delusions are evident, making them incorrect choices.
Question 5 of 5
A nurse is taking care of an adult client who is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "It sounds like you're having a difficult time." This response shows empathy and acknowledges the client's feelings without making assumptions. It validates the client's experience and opens the door for further discussion.
Choice A focuses on duration rather than the client's feelings.
Choice C assumes the client still relies on parents for support.
Choice D may come off as accusatory or dismissive.