ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse observes a client sitting alone in her room crying. As the nurse approaches her, the client states, "I'm feeling sad. I don't want to talk now." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Staying with the client provides support without pressuring them to talk.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for detoxification. The nurse enters the room and finds the client shouting in a terrified voice, "Get these bugs off of me!” Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale:
Correct Answer: C - "I don't see any bugs, but you seem very frightened."
Rationale: This response acknowledges the client's feelings without confirming the presence of bugs, which could worsen the delusion. It shows empathy and validates the client's emotions, promoting trust and therapeutic communication.
Summary of Incorrect
Choices:
A: Invalidates the client's experience and may increase anxiety.
B: Encourages the client to elaborate on the delusion, potentially reinforcing it.
D: Denies the client's perception and can lead to mistrust or agitation.
Question 4 of 5
A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The nurse should immediately arrange emergency assistance as amitriptyline overdose can be life-threatening.
Question 5 of 5
A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Correct Answer: A
Rationale: The correct answer is A: Mental Status Examination (MSE). This is a crucial part of the assessment for a suspected cognitive disorder in older adults. The MSE evaluates cognitive functions such as orientation, memory, attention, language, and executive functions. It helps in identifying any cognitive deficits and provides a baseline for monitoring changes over time.
Brief Patient Health Questionnaire (Brief PHQ) (
B), Abnormal Involuntary Movements Scale (AIMS) (
C), and Scale for Assessment of Negative Symptoms (SANS) (
D) are not appropriate for assessing cognitive disorders. The Brief PHQ is used for screening depression, AIMS for monitoring movement disorders, and SANS for assessing negative symptoms in psychiatric disorders. These tools do not directly evaluate cognitive functions.