ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?
Correct Answer: D
Rationale: Encouraging the spouse to verbalize concerns supports therapeutic communication.
Question 2 of 5
A nurse is observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
Correct Answer: B
Rationale: The correct answer is B. This statement implies a biased perspective favoring the partner, potentially invalidating the client's feelings. It is essential for a nurse to remain neutral and empathetic when assisting clients with their concerns, rather than suggesting one viewpoint over another. This could lead to the client feeling unheard or misunderstood. Other options (A, C,
D) demonstrate appropriate therapeutic communication techniques by encouraging the client to express feelings, working collaboratively on a plan, and acknowledging the challenges in relationships.
Question 3 of 5
A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?
Correct Answer: A
Rationale: Assessing for psychotic thinking is the highest priority as it determines if the client is at risk for harm to self or others.
Question 4 of 5
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: C
Rationale: The correct answer is C, supporting the client's wish to refuse prescribed medications, demonstrates the ethical concept of autonomy. Autonomy refers to the client's right to make their own decisions about their care. By supporting the client's wish to refuse medications, the nurse is respecting the client's autonomy and right to make choices about their treatment.
A: Encouraging client feedback about satisfaction with the facility experience relates to client satisfaction but not necessarily autonomy.
B: Explaining unit rules and policies regarding unacceptable behaviors is important for maintaining a safe environment but not directly related to autonomy.
D: Making sure the client understands expectations for participation is important for informed decision-making but not as directly related to autonomy as choice C.
Question 5 of 5
A nurse is caring for a 48-year-old client who is grieving following the death of her husband seven months ago. The client reports that she has lost 30 lb and is having difficulty sleeping. Which of the following factors indicate the client is experiencing maladaptive grieving?
Correct Answer: C
Rationale: The correct answer is C: The client has lost 30 lb. This indicates maladaptive grieving as significant weight loss is a common physical manifestation of unresolved grief. The weight loss could be due to lack of appetite or neglecting self-care, both of which are concerning signs. Losing a large amount of weight within a short period can negatively impact the client's health and well-being.
Choices A, B, and D are not directly related to maladaptive grieving. Age (
A) and the time since the husband's death (
B) are not indicative of maladaptive grieving, as everyone grieves differently and at their own pace. Difficulty sleeping (
D) is a common symptom of grief but may not necessarily indicate maladaptive grieving on its own.