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LATEST TEST BANK FOR MENTAL HEALTH
ATI RN EXAM | 900+ QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES |
GRADED A+ | VERIFIED ANSWERS | JUST
RELEASED
A nurse is caring for a client who states, "I'm so stressed at work because
of my coworker. He expects me to finish his work because he's too lazy!"
When discussing appropriate communication, which of the following
statements by the client to his coworker indicates client understanding?
A. "You really should complete your own work. I don't think it's right to
expect me to complete your responsibitilies."
B. "Why do you expect me to finish your work? You must realize that I have
my own responsibilities."
C. "It is not fair to expect me to complete your work. If you continue, then I
will report your behavior to our supervisor."
D. " when I have to pick up extra work, I feel very overwhelmed. I need to
focus on my own responsibilities.
ATI RN Mental Health Nursing Modules Ch. 9 Notes ---------CORRECT
ANSWER-----------------*D*:
*Disapproving/disagreeing*, *"why" question*, and
*aggressive/threatening statements* can prompt a defensive reaction.
This response demonstrates *assertive communication, which allows
the client to state her feelings about the behavior and then promote a
change.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A nurse is providing teaching for a client who is scheduled to receive
electroconvulsive therapy (ECT) for the treatment of major depressive
disorder. Which of the following client statements indicates understanding
of the teaching?
,A. "It is common to treat depression with ECT before trying medications."
B. "I can have my depression cured if I receive a series of ECT treatments."
C. "I will have seizures lasting 1 1/2 to 2 minutes during ECT."
D. "I will receive a muscle relaxant to protect me from injury during ECT."
ATI RN Mental Health Nursing Modules Ch. 10 Notes ---------CORRECT
ANSWER-----------------D:
ECT: for major depressive disorder not responsive to meds, ↓
incidence and relapse of depression, causes seizures of 25-60
seconds.
A muscle relaxant, such as succinylcholine (Anectine), is
administered to reduce the risk of injury during induced seizure
activity.
ATI RN Mental Health Nursing Modules Ch. 10 Notes
A nurse is preparing to obtain a nursing history from a client who has a new
diagnosis of anorexia nervosa. Which of the following questions are
appropriate for the nurse to include in the assesment? ---------CORRECT
ANSWER-----------------A. "What is your relationship like with your family?"
C. "Would you describe your current eating habits?"
E. "Can you discuss your feelings about your appearance?"
Rationale: A family history of a client who has anorexia should
include an assessment of family and interpersonal relationships. You
should also assess for the client's current eating habits, and the
client's perception of the issue.
A nurse is caring for an adolescent client who has anorexia nervosa with
recent rapid weight loss and a current weight of 90 lbs. Which of the
following statements indicates the client is experiencing the cognitive
distortion of catastrophizing? ---------CORRECT ANSWER-----------------A.
"Life isn't worth living if I gain weight."
,Rationale: Catastrophizing means that the client's perception of her
appearance or situation is much worse than her current condition.
A nurse is performing an admission assessment of a client who has bulimia
nervosa with purging behavior. Which of the following is an expected
finding? ---------CORRECT ANSWER-----------------B. Hypokalemia
D. Slightly elevated body weight
Rationale: A client who has a bulimia nervosa disorder will be
hypokalemic, will maintain a weight within a normal range or slightly
higher; they will not have a period (amenorrhea), and a patchy skin
(mottling of skin).
A nurse is caring for a client who has bulimia nervosa and who has stopped
purging behavior. The client tells the nurse that she is afraid she is going to
gain weight. Which of the following is an appropriate response by the
nurse? ---------CORRECT ANSWER-----------------C. "I understand you have
concerns about your weight, but first, let's talk about your recent
accomplishments."
Rationale: A nurse should focus on the patient's accomplishments,
which helps promote self-esteem and self-image.
A nurse on an acute care unit is planning care for a client who has anorexia
nervosa with binge-eating and purging behavior. Which of the following
nursing actions is appropriate to include in the client's plan of care? ---------
CORRECT ANSWER-----------------D. Implement one-to-one observation
during meal times.
Rationale: A nurse should closely monitor the client during and after
meals to prevent purging. It may necessitate accompanying the
patient to the restroom. A patient should also have a highly structured
milieu, including meal times. The client should not eat foods high in
fat and gas-producing at the start of a treatment. A positive approach
, should also be used which includes rewards, such as when
completing meals or consuming a set number of calories.
A nurse is teaching a client who has an anxiety disorder and is scheduled
to begin classical psychoanalysis. Which of the following client statements
indicates an understanding of this form of therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6
weeks."
B. "The therapists will focus on my past relationships during our sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my
behaviors."
D. "This therapy will address my conscious feelings about stressful
experiences."
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises ---------
CORRECT ANSWER-----------------B:
Classical psychoanalysis :
- many sessions, months to years.
- focuses on past relationships to identify the cause of the anxiety
disorder.
- assesses unconscious thoughts and feelings.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
A nurse is discussing free association as a therapeutic tool with a client
who has major depressive disorder. Which of the following client
statements indicates understanding of this technique?
A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapists with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "This therapy will address my conscious feelings about stressful
experiences."
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