ATI RN
ATI Mental Health Practice B
1. A client with obsessive-compulsive disorder (OCD) tells the nurse, 'I know my behavior is unreasonable, but I can't help it.' What response should the nurse provide?
- A. Your behavior is part of your illness, and it is important to work on changing it.
- B. It is important to understand why you feel the need to perform these behaviors.
- C. Let's figure out a way for you to control these behaviors.
- D. It sounds like you are feeling powerless to change your behavior.
Correct answer: D
Rationale: The nurse should acknowledge the client's awareness of the irrationality of their behavior and the feeling of powerlessness to change it. By reflecting the client's feelings, the nurse validates them and opens a discussion on strategies to manage the behavior effectively. Empathy and understanding are key in supporting clients with OCD. Choice A is incorrect because it focuses more on changing the behavior rather than acknowledging the client's feelings. Choice B is incorrect as it does not directly address the client's sense of powerlessness. Choice C is incorrect as it doesn't validate the client's feelings of being unable to control the behaviors.
2. A nurse is providing education to a client who has been prescribed lithium for bipolar disorder. Which statement by the client indicates an accurate understanding of the medication?
- A. I should avoid eating aged cheeses and processed meats.
- B. I need to maintain a consistent sodium intake.
- C. I should drink plenty of fluids to stay hydrated.
- D. I can take over-the-counter medications without consulting my doctor.
Correct answer: B
Rationale: Clients taking lithium should maintain a consistent sodium intake to avoid fluctuations in lithium levels.
3. During an intake assessment, a healthcare professional asks both physiological and psychosocial questions. The client angrily responds, 'I'm here for my heart, not my head problems.' What is the healthcare professional's best response?
- A. It's just a routine part of our assessment. All clients are asked these same questions.
- B. Why are you concerned about these types of questions?
- C. Psychological factors, like excessive stress, have been found to affect medical conditions.
- D. We can skip these questions, if you like. It isn't imperative that we complete this section.
Correct answer: C
Rationale: The healthcare professional should educate the client on the negative effects of excessive stress on medical conditions. Understanding the interconnectedness of physical and mental health is crucial for providing holistic care. Choice A is incorrect because it doesn't address the importance of psychosocial aspects. Choice B is wrong as it doesn't provide relevant information about the impact of psychological factors on health. Choice D is incorrect because skipping questions would lead to an incomplete assessment, potentially missing crucial information affecting the client's overall health outcomes.
4. A client who experiences stress on a regular basis asks a nurse what causes these feelings. Which is the most appropriate nursing response?
- A. Genetics have no influence on your temperament.
- B. How you reacted to past experiences influences how you feel now.
- C. Maintaining good physical health always keeps stress levels low.
- D. Stress can be avoided by using appropriate coping mechanisms.
Correct answer: B
Rationale: The correct answer is B: 'How you reacted to past experiences influences how you feel now.' This response is appropriate because past experiences can shape an individual's current response to stress. It acknowledges the impact of learned patterns and coping mechanisms on one's current adaptation to stressors. Choice A is incorrect because genetics can play a role in temperament to some extent. Choice C is incorrect because while physical health can contribute to stress management, it is not the sole determinant of stress levels. Choice D is incorrect as stress is not always avoidable, but coping mechanisms can help manage and reduce its impact.
5. Why is it important to establish a contract with a client with an eating disorder at the beginning of treatment?
- A. The client and healthcare provider form a partnership that is challenging for the family to disrupt.
- B. A collaborative approach to treatment planning ensures that both physical and emotional needs will be addressed.
- C. Involving the client in decision-making enhances the feeling of control and fosters cooperation.
- D. Permission for refeeding is crucial as it can have adverse effects.
Correct answer: C
Rationale: Establishing a contract with a client with an eating disorder at the start of treatment is crucial to involve the client in decision-making processes. By engaging the client in decision-making, it enhances their sense of control over their treatment, which can lead to increased cooperation and better treatment outcomes. This collaborative approach empowers the client and fosters a therapeutic alliance between the client and the healthcare provider, rather than excluding the family or causing disruptions. It focuses on addressing both the physical and emotional needs of the client, ensuring a comprehensive treatment plan.
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