ATI Mental Health 2020 A Practice Exam | Questions and Verified Answers ()
QUESTION
A nurse is collecting data from a client who has dementia and
... [Show More] whose family expresses concern about their increasing "memory problems". Which of the following findings should the nurse identify as the priority?
A. The client often forgets people's names.
B. The client avoids social interaction.
C. The client is frequently emotionally labile.
D. The client sometimes wanders from the house.
Answer:
D. The client sometimes wanders from the house.
Rationale: The nurse should identify that wandering away from home places the client at greatest risk for injury due to lack of supervision. Therefore, this is the priority finding.
QUESTION
A nurse is caring for a client who has somatic symptom disorder. Which of the following actions should the nurse take?
A. Obtain the client's vital signs each time the client reports physical illness.
B. Remind the client that their symptoms are not real.
C. Encourage the client to examine how their illness behavior affects their family.
D. Provide adequate time for the client to describe their symptoms.
Answer:
C. Encourage the client to examine how their illness behavior affects their family.
Rationale: The nurse should recognize that secondary gains the client might receive are a reprieve from performing duties related to care of the family. The nurse should encourage the client to gain insight into how their illness behavior affects their family, which can help restore family function.
QUESTION
A nurse is participating in group therapy for clients who have major depressive disorder. Which of the following topics should the nurse include in the orientation phase of group therapy?
A. Confidentiality
B. Developing goals
C. Problem solving
D. Identifying the roles of group members
Answer:
A. Confidentiality
Rationale: The nurse should establish the expectations of confidentiality during the orientation phase of group therapy.
QUESTION
A nurse is contributing to the plan of care for a client who has an anxiety disorder. Which of the following interventions should the nurse recommend to be included in the plan?
A. Help the client to identify situations that trigger their anxiety.
B. Change the subject when the client has anxious feelings.
C. detailed explanations of available activities.
D. Encourage the client to determine their own daily schedules.
Answer:
A. Help the client to identify situations that trigger their anxiety.
Rationale: The nurse should assist the client in identifying trigger situations to interrupt anxiety escalation in the future.
QUESTION
A nurse is collecting data from a client who has agoraphobia. the nurse should identify that which of the following situations will increase the client's anxiety?
A. Traveling in an airplane
B. Entering a walk-in closet
C. Taking a bath
D. Picking up a soiled tissue
Answer: [Show Less]