ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
While in group therapy, a nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "Tell me more about your concerns about taking chemotherapy." This response demonstrates active listening and shows empathy towards the client's perspective. By asking the client to elaborate on their concerns, the nurse can gain a better understanding of the client's preferences and fears. This allows for a more personalized approach to care and promotes shared decision-making.
A: This response is dismissive and may make the client feel judged or unheard. It does not address the client's concerns effectively.
C: This response is authoritative and does not respect the client's autonomy or preferences. It may lead to a breakdown in communication and trust between the nurse and client.
D: This response puts undue emphasis on the provider's authority and disregards the client's unique needs and preferences. It does not promote open communication or collaborative decision-making.
Question 2 of 5
A nurse is planning care for a client newly admitted with major depressive disorder. After ensuring safety, which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Rationale: Assessing the client's need for assistance with ADLs is crucial in caring for a client with major depressive disorder to ensure basic self-care needs are met. This is important for maintaining physical health and promoting a sense of well-being. The other options are incorrect as they do not prioritize the client's immediate needs or may even worsen their condition. Asking the client to create her own schedule may be overwhelming, teaching passive communication may hinder effective expression of feelings, and limiting involvement in activities may lead to social isolation. Thus, choice A is the most appropriate action to address the client's well-being and safety.
Question 3 of 5
The following statement best describes which phase in the cycle of battering: 'The woman senses that the man's tolerance for frustration is declining. He becomes angry with little provocation but may be quick to apologize. She may just try to stay out of his way.' The nurse recognizes this statement to be which of the following phases?
Correct Answer: B
Rationale: The correct answer is B: Phase I, also known as the tension-building phase. In this phase, the woman senses the man's decreasing tolerance for frustration, leading to increased tension and anger. He may become easily provoked and then apologize quickly. This phase is characterized by escalating tension and minor incidents triggering anger. The other choices are incorrect because Phase IV is the acute battering incident, Phase III is the honeymoon phase, and Phase II is not provided in the question. Thus, based on the description given, Phase I aligns best with the scenario presented.
Question 4 of 5
A nurse is providing teaching to a client diagnosed with schizophrenia and is prescribed haloperidol (Haldol). Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "You may experience dizziness upon standing while taking this medication." This information should be included because haloperidol can cause orthostatic hypotension, leading to dizziness upon standing. It is crucial for the client to be aware of this potential side effect to prevent falls.
Choice B is incorrect because haloperidol is not typically used to treat OCD symptoms.
Choice C is incorrect because abruptly stopping antipsychotic medication like haloperidol can lead to withdrawal symptoms and a worsening of schizophrenia symptoms.
Choice D is incorrect because excessive salivation is not a common side effect of haloperidol.
Question 5 of 5
A home health nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?
Correct Answer: D
Rationale: The correct answer is D because significant weight loss in the partner over the past 3 months indicates caregiver role strain. This observation suggests that the partner may be neglecting their own health and well-being due to the stress and demands of caregiving for a client with Alzheimer's. The partner's weight loss is a physical manifestation of caregiver burnout and strain.
Choices A, B, and C do not directly indicate caregiver role strain. Placing locks at the top of doors (
Choice
A) is a safety measure for the client with Alzheimer's. Redirecting the client when frustrated (
Choice
B) and hiring a house cleaner (
Choice
C) are appropriate caregiving strategies to manage the client's condition and maintain a safe and clean environment.