ATI RN Mental Health Practice 2019 B (V1) | 60 Questions and Verified Answers with Rationales ()
QUESTION
A nurse is counseling an adolescent who has
... [Show More] anorexia nervosa and reports excessive laxative use and a fear of gaining weight. The client states, "I'm so fat I can't even stand to look at myself." Which of the following therapeutic responses demonstrates the nurse's use of summarizing?
A. "You've discussed several concerns about your weight. Let's go back and talk about your belief that you are fat"
B. You're saying that you think you are fat and are using laxatives because you are afraid of gaining weight
C. You don't want to look at yourself because you think you are fat
D. You and I can work together to overcome your fears of gaining weight
Answer:
B - CORRECT
The nurse is using the therapeutic technique of summarizing to review the key points of the discussion.
A - INCORRECT
The nurse is using the therapeutic technique of focusing in this statement.
C - INCORRECT
The nurse is using the therapeutic technique of restating in this statement.
D - INCORRECT
The nurse is using the therapeutic technique of suggesting collaboration in this statement.
QUESTION
A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent?
A. A 17 year old client who lives with friends
B. 50 year old client who has a blood alcohol level of 80 mg/dL
C. A 35 year old client who has major depressive disorder
D. 65 year old client who just received a dose of morphine
Answer:
C - CORRECT
A client who has major depressive disorder is capable of making health care decisions unless the client is determined to be legally incompetent.
A - INCORRECT
Individuals younger than 18 years of age can only provide informed consent if they are married, pregnant, parents, or emancipated.
B - INCORRECT
A client who is intoxicated cannot legally give informed consent.
D - INCORRECT
A client who has just received morphine, an opioid analgesic, is functionally incompetent due to the medication's effect on the CNS.
QUESTION
A nurse in a community health center is teaching families of clients who have post-traumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include?
A. Repeatedly talks about the traumatic incident
B. Sleeps excessively
C. Experiences feelings of isolation
D. Uses repetitive speech
Answer:
C - CORRECT
The nurse should expect clients who have PTSD to feel estranged and detached from others.
A - INCORRECT
The nurse should identify avoidance of discussing the traumatic event as an expected manifestation of PTSD.
B - INCORRECT
The nurse should identify difficulty sleeping and hypervigilance as expected manifestations of PTSD.
D - INCORRECT
The nurse should identify that verbal aggression is a manifestation of PTSD; however, repetitive speech is not.
QUESTION
A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness/
A. "I am going to order a wheelchair for when I'm unable to walk"
B. "I am going to stop paying bills since I won't be around much longer"
C. "I wish you would go take care of somebody who actually needs you."
D. " I am sure I'm going to be able to continue to care for myself without help."
Answer:
A - CORRECT
The client is recognizing the reality of continued loss of independence and is anticipating the need for assistive devices, which indicates the behavioral response of acceptance.
B - INCORRECT
The client is verbalizing hopelessness and demonstrating the grieving stage of depression. This does not indicate acceptance.
C - INCORRECT
The client is expressing anger, which is a behavioral response to grief. This does not indicate acceptance.
D - INCORRECT
The client is expressing denial, which is a behavioral response to grief. This does not indicate acceptance.
QUESTION
A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make?
A. It appears as though you would to open the door
B. You will feel more comfortable after you've bee here for a while
C. It is okay to not want to be here
D. You really shouldn't be pushing on the door
Answer:
A - CORRECT
This statement is an example of the therapeutic technique of making observations. This technique encourages the client to notice the behavior so that they can describe thoughts and feelings related to that behavior.
B - INCORRECT
This statement is an example of nontherapeutic communication. It is falsely reassuring the client that everything will be fine. This type of communication minimizes the client's concerns and offers no constructive interventions.
C - INCORRECT
This statement is an example of nontherapeutic communication. It assumes an understanding of the client's feelings and offers no constructive interventions.
D - INCORRECT
This statement is an example of nontherapeutic communication. Disapproval of the client's actions can make the client defensive and offers no constructive interventions. [Show Less]