ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?
Correct Answer: D
Rationale: The correct answer is D. The CAGE questionnaire is a widely used tool to screen for alcohol use disorder. Each letter in CAGE represents a key question: "C" for efforts to Cut down, "A" for Annoyance with criticism about drinking, "G" for Guilt about drinking, and "E" for using alcohol as an "Eye-opener." These questions help assess the client's attitudes and behaviors related to alcohol consumption, providing valuable information for further evaluation and intervention.
Choices A, B, and C do not directly address the key aspects of alcohol use disorder that the CAGE questionnaire aims to uncover, making them incorrect. It is crucial for the nurse to explore the issues highlighted in answer choice D to gain a comprehensive understanding of the client's alcohol consumption patterns and potential alcohol-related problems.
Question 2 of 5
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
Correct Answer: A
Rationale: The correct answer is A: Not sleeping for several days. This is the most important statement to explore because it indicates potential severe distress and disruption in the client's sleep patterns, which can have significant impacts on mental and physical health. Lack of sleep can exacerbate symptoms of depression and increase the risk of suicide. It is crucial for the RN to assess the severity of the sleep disturbance and intervene appropriately to ensure the client's safety and well-being.
The other choices (B, C,
D) are also important concerns, but not as urgent as the client's severe sleep disturbance. Wishing to be with the deceased spouse, lack of interest in usual activities, and eating very little are all common symptoms of grief and depression, but they do not pose an immediate risk to the client's health and safety compared to the potential consequences of severe sleep deprivation.
Question 3 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D: They are not actually ill. Patients with anosognosia lack awareness of their illness, leading them to deny their condition and refuse treatment. They genuinely believe they are not sick, making it challenging to accept medication.
Choice A is incorrect as it assumes a belief in the medication's lack of efficacy.
Choice B is incorrect because it introduces a paranoid belief about nurses.
Choice C is incorrect as it focuses on fear of side effects rather than denial of illness.
Question 4 of 5
What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing†to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is built on the foundation of genuine acceptance, respect, and concern for the patient's situation. By exhibiting these qualities, the nurse establishes a trusting and supportive relationship with the patient, which can enhance the therapeutic process. Patients are more likely to appreciate and respond positively to a nurse who demonstrates empathy and understanding. In contrast, choices B, C, and D do not address the core principles of effective communication or the importance of establishing a supportive environment for the patient.
Choice B incorrectly assumes that patients are not interested in what the nurse has to say, choice C disregards the potential harm that insensitive communication can cause, and choice D generalizes about individuals with mental illness.
Question 5 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.†Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct response is C: "You seem very upset. Please tell me more about what you experienced last night." This response demonstrates empathy, active listening, and encourages further disclosure, which can help James feel supported and validate his feelings. It also opens up the opportunity for James to express his thoughts and emotions, leading to a better understanding of his experiences.
Choice A is incorrect as it dismisses James' experiences and can be invalidating.
Choice B is incorrect as it may come across as dismissive and does not address James' emotional state.
Choice D is incorrect as it focuses more on reassurance than on actively listening and understanding James' experience.