ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
During a group therapy meeting, a client brings up a concern about the cleanliness of the bathroom. The nurse asks the group what should be done about the issue and how to resolve it. The nurse is demonstrating which type of leadership style?
Correct Answer: A
Rationale: The correct answer is A: Democratic. In this scenario, the nurse involves the group in decision-making, seeking their input on how to address the concern. This exemplifies a democratic leadership style, which values collaboration and participation from group members. This approach fosters a sense of empowerment and ownership among the group, promoting a supportive and inclusive environment.
Incorrect choices:
B: Surrogate - This leadership style involves someone acting on behalf of another individual, which is not demonstrated in the scenario.
C: Laissez-faire - This style involves a hands-off approach, where individuals are given freedom to make decisions on their own without much guidance or intervention, which is not evident in the nurse's actions.
D: Autocratic - This style involves making decisions without input from others, which is contrary to the collaborative approach taken by the nurse in the scenario.
Question 2 of 5
A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification by the home health nurse?
Correct Answer: B
Rationale: The correct answer is B. This statement indicates a need for clarification because it suggests that abusers have high self-esteem and see themselves as important, which is not accurate. Abusers often have low self-esteem and use power and control tactics to compensate. This misconception could lead to misunderstanding and misidentification of domestic violence situations.
Statement A is correct as abusers do gain power through intimidation. Statement C is correct as abusers often lack social supports and skills. Statement D is correct as abusers often isolate their partners to control them. Thus, the need for clarification lies in statement B only.
Question 3 of 5
A nurse on the medical unit is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct answer is A, B, C, and E. Tachycardia, tremors, hallucinations, and seizures can all be potential physical symptoms of alcohol withdrawal. Tachycardia is an increased heart rate, often seen during withdrawal due to the body's response to alcohol leaving the system. Tremors, or shaking of the hands or other body parts, are also common withdrawal symptoms. Hallucinations can occur, ranging from mild to severe visual or auditory disturbances. Seizures are a severe complication of alcohol withdrawal known as delirium tremens.
Choices D, F, and G are incorrect as hypotension (low blood pressure) is not typically associated with alcohol withdrawal, and options F and G are not provided in the question stem.
Question 4 of 5
A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy rather than sympathy, as the nurse is sharing her own experience to connect with the client. This can create a sense of validation and understanding for the client's emotions.
Choice B acknowledges the client's feelings and offers support, making it a therapeutic response.
Choice C also acknowledges the client's feelings and offers an opportunity for discussion, making it a therapeutic response.
Choice D is non-therapeutic as it jumps to suggesting medication without fully exploring the client's emotional needs.
Question 5 of 5
A nurse is caring for a client who lost all his possessions in a house fire and states, 'I have no idea what I am going to do. I cannot think right now.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Maintain eye contact with the client and summarize the client's feelings. This is the best option because it shows active listening and empathy towards the client's emotional state. By maintaining eye contact, the nurse conveys attentiveness and support, which can help the client feel heard and understood. Summarizing the client's feelings also validates their emotions and can help them process their thoughts.
Option A is incorrect because focusing on practical solutions may not address the client's immediate emotional needs. Option B is inappropriate as involving the chaplain may not be necessary at this moment. Option C is dismissive of the client's feelings and does not offer emotional support.