ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering presence without pressuring the client to talk provides comfort and support.
Question 2 of 5
A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?
Correct Answer: A
Rationale: The correct answer is A. This statement indicates understanding of the exposure therapy approach for agoraphobia, where the client gradually exposes themselves to feared situations. Sitting on a park bench signifies a step towards facing open spaces.
Choice B involves group therapy, which may not directly address agoraphobia.
Choice C with a book club does not specifically target agoraphobia.
Choice D suggests avoidance, which can reinforce fear.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: Command hallucinations pose the highest risk as they may direct the client to harm themselves or others.
Question 4 of 5
A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?
Correct Answer: B
Rationale: Projection involves attributing one’s own feelings or faults to others.
Question 5 of 5
A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?
Correct Answer: D
Rationale: The correct answer is D: Chronic illness. Chronic illness can contribute to the development of depression due to the physical and emotional toll it takes on individuals. The stress, pain, and limitations associated with chronic conditions can lead to feelings of hopelessness and helplessness, which are common symptoms of depression. Additionally, managing a chronic illness may require significant lifestyle adjustments and can impact one's quality of life.
A: Being married is not a risk factor for depression, as having a supportive partner can actually be a protective factor.
B: Pregnancy can lead to mood changes, but it is not a direct risk factor for depression.
C: Male gender is a risk factor for certain mental health conditions, but depression is more prevalent in females.
Overall, chronic illness is the most directly linked risk factor for depression among the options provided.