ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, 'I'm so worried that my mother is depressed.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Tell me the reasons you think your mother is depressed." This response demonstrates active listening and therapeutic communication. By asking the daughter to explain her concerns, the nurse can gather valuable information to assess the situation further. It also shows empathy and validates the daughter's perspective, building rapport and trust. This approach allows the nurse to obtain a comprehensive understanding of the client's condition and concerns, facilitating appropriate assessment and intervention.
Choices A, C, and D are incorrect:
A: Older adults are not usually diagnosed with depressive disorder solely based on age. Depression is a complex condition with various contributing factors.
C: Minimizing the daughter's concerns by stating that everyone gets depressed trivializes the situation and does not address the client's specific needs.
D: Assuring the daughter that depressive disorder is easily treated oversimplifies the condition and may create false expectations, potentially hindering effective assessment and treatment.
Question 2 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior every 15 min. This is crucial for monitoring the client's condition and assessing the effectiveness of seclusion. Documenting every 15 minutes allows the nurse to track changes in behavior, ensure safety, and provide necessary interventions promptly. Obtaining the provider's prescription within 60 minutes (
B) is important but not as immediate as documenting behavior. Monitoring vital signs (
C) is essential but should be done more frequently for a physically aggressive client in seclusion. Offering food and fluids (
D) is not a priority in this situation.
Question 3 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Request that the client's guardian sign the consent. In cases where a client has been declared legally incompetent, a guardian is legally responsible for making decisions on their behalf. This ensures that the client's best interests are considered and that the consent is valid. Asking the guardian to sign the consent is the appropriate action to take in this situation.
A: Explaining implied consent to the client's family is not sufficient as the client's legal guardian should be involved in decision-making for an incompetent client.
B: Asking the charge nurse to obtain informed consent may not be appropriate as the client's guardian should be the one making the decision.
C: While contacting the facility social worker may be helpful, it is ultimately the guardian's responsibility to provide consent for the incompetent client.
D: Requesting the client's guardian to sign the consent is the correct course of action in this scenario.
Question 4 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Displacement. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this scenario, the client is angry with his partner but instead directs his anger towards the nurse, asking her to leave. This behavior of displacing his anger onto the nurse demonstrates the defense mechanism of displacement.
Choice B: Compensation involves overachieving in one area to make up for a perceived deficiency in another area, which is not demonstrated in this scenario.
Choice C: Denial is refusing to acknowledge reality, which is not evident as the client acknowledges his anger.
Choice D: Rationalization involves creating logical explanations to justify unacceptable behavior, which is not happening here.
Question 5 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Plan a menu with the client. This is important because involving the client in meal planning empowers them to make healthier food choices and develop a structured eating routine, which can help in managing binge eating disorder. Weighing the client every other day (
Choice
A) may exacerbate anxiety and reinforce unhealthy focus on weight. Remaining with the client for 1 hr after meals (
Choice
B) may not address the root causes of binge eating. Offering snacks when the client is hungry (
Choice
C) may not address the underlying issues of the disorder and could potentially encourage unhealthy eating behaviors.