ATI RN MENTAL HEALTH PROCTORED EXAM

ATI RN MENTAL HEALTH PROCTORED EXAM

VERSION 5

A nurse is caring for a client who has depression and started taking paroxetine one week

ago. The client states to the nurse, "My family would be better off without me." Which of the following responses should the nurse make?

"Why do you feel your family would be better off without you?"

The nurse should avoid asking a "why" question, which blocks communication by promoting a defensive client reaction."Many people feel this way when they are depressed."

This response exemplifies the nontherapeutic communication block of using a cliché. Telling the client that "many people feel this way" minimizes and takes the focus off of the client’s feelings."You sound upset. Are you thinking of hurting yourself?"

MY ANSWER 1 / 3

This response exemplifies the therapeutic communication technique of showing empathy.Telling the client, "You sound upset," focuses on the client’s feelings, which is a demonstration of therapeutic communication. In addition, the nurse addresses the possibility of suicidal ideation by asking the client directly whether or not she has an intent to harm herself."Your medication hasn't started working yet. Then you'll be feeling differently. "

This response exemplifies the nontherapeutic communication block of giving false reassurance.While the nurse is correct that antidepressant medications often take up to 3 weeks to take effect, there is no guarantee that the client will feel better at that time.

A nurse is admitting a client following care in the emergency department for an intentional

overdose of opioids. The client states, "I feel so alone. No one can help me." Which of the

following responses by the nurse is therapeutic?

"Let's finish your admission and then talk about your feelings."

The nurse should avoid using nontherapeutic communication that changes the focus away from the client’s feelings and blocks further communication."How come you feel that no one can help you when you are receiving help now?"

The nurse should avoid using nontherapeutic communication that makes a value judgment on the client’s feelings and blocks further communication."Why do you feel that no one can help you?"

The nurse should avoid using nontherapeutic communication that asks the client a "why" question, which promotes a defensive client response."I would like to sit and talk with you."

MY ANSWER

The nurse should use the therapeutic communication technique of offering one’s self to demonstrate caring and interest in the client and the client’s feelings 2 / 3

A nurse is caring for a client who has schizophrenia. The client states, "My internal organs

have turned to stone." The nurse should document this finding as which of the following

types of delusions?

Somatic

The nurse should identify that the client is experiencing a somatic delusion. Clients experiencing a somatic delusion believe that a body part is no longer functioning in a realistic or expected manner.Reference

The nurse should identify that a client who has a delusion of reference believes that occurrences in the environment are about or because of him.Persecutory

The nurse should identify that a client who has a persecutory delusion believes that someone or something wants to intentionally harm him.Grandiose

The nurse should identify that a client who has a grandiose delusion believes that he is superior or more important than others.

A nurse in an emergency department is caring for an 18-month-old toddler who has a

fractured left femur. Which of the following statements by the toddler's parent should

cause the nurse to suspect child abuse

• / 3