ATI RN
ATI Mental Health
1. A client has generalized anxiety disorder (GAD), and a nurse is providing care. Which of the following interventions should the nurse avoid implementing?
- A. Encourage the client to express their feelings
- B. Monitor daily caloric intake and weight
- C. Promote regular physical activity
- D. Discourage the use of caffeine
Correct answer: B
Rationale: In caring for a client with generalized anxiety disorder (GAD), it is important to encourage the client to express their feelings, promote regular physical activity, and discourage the use of caffeine. Addressing weight and caloric intake monitoring may exacerbate anxiety related to body image, and focusing on these aspects can be distressing for the client. Therefore, monitoring daily caloric intake and weight should be avoided in this scenario.
2. Which of the following characteristics is not a feature of borderline personality disorder?
- A. Intense fear of abandonment
- B. Unstable relationships
- C. Impulsivity
- D. Grandiosity
Correct answer: D
Rationale: Borderline personality disorder is characterized by an intense fear of abandonment, unstable relationships, impulsivity, and chronic feelings of emptiness. Grandiosity, which involves an inflated sense of self-importance, is typically associated with narcissistic personality disorder rather than borderline personality disorder.
3. Which of the following are therapeutic communication techniques that a healthcare professional can use when interacting with clients?
- A. Using silence
- B. Discouraging the client from washing their hands
- C. Giving advice
- D. Providing reassurance
Correct answer: A
Rationale: Therapeutic communication techniques aim to establish a trusting and supportive relationship between the healthcare professional and the client. Using silence is a valid therapeutic technique that allows the client to reflect and express their thoughts. On the other hand, discouraging the client from washing their hands goes against good hygiene practices and is not therapeutic. Giving advice and providing reassurance can be non-therapeutic if not used appropriately, as they may undermine the client's autonomy and problem-solving abilities.
4. A healthcare professional is assessing a client with obsessive-compulsive disorder (OCD). Which of the following findings shouldn't the healthcare professional expect?
- A. Recurrent, intrusive thoughts
- B. Compulsive behaviors
- C. Delusions of grandeur
- D. Avoidance of situations that trigger obsessions
Correct answer: C
Rationale: In obsessive-compulsive disorder (OCD), common findings include recurrent, intrusive thoughts (obsessions), compulsive behaviors, and avoidance of situations that trigger obsessions. Delusions of grandeur, which involve having an exaggerated sense of power, importance, or identity, are not typically associated with OCD. It is important to differentiate between the specific characteristics of OCD and other mental health conditions to provide accurate care and interventions for clients.
5. Which client action is an example of the defense mechanism of displacement?
- A. A man kicks his dog after an argument with his boss.
- B. A woman yells at her children after a stressful day at work.
- C. A student immerses herself in studying to avoid thinking about a recent breakup.
- D. A person channels aggressive impulses into playing a sport.
Correct answer: B
Rationale: Displacement involves redirecting emotions, often anger or aggression, from their original source to a less threatening target. In this scenario, the woman redirects her frustration from work towards her children, who are perceived as less threatening and safer to express anger towards.
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