ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D. The nurse should see the client taking clozapine first due to the potential side effect of agranulocytosis, which can manifest as a sore throat. This is a serious adverse effect that requires immediate attention to prevent complications. The other clients do not present with urgent or life-threatening issues. A: Narcissistic behavior is disruptive but not a medical emergency. B: Upset about a routine change is distressing but does not pose a physical health risk. C: Assistance with ADLs is important but not immediately life-threatening.
Therefore, prioritizing the client on clozapine with a sore throat is crucial to ensure timely intervention and prevent serious complications.
Question 2 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. Adolescents typically fall into this stage, characterized by exploring and establishing their sense of self and identity. They may question their roles and values, seeking to understand who they are.
Choice A (Generativity vs self-absorption) is more relevant to middle adulthood.
Choice B (Trust vs mistrust) is for infancy.
Choice C (Intimacy vs isolation) is for young adulthood.
Question 3 of 5
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Ask the client directly what he is hearing. This is the best action because it acknowledges the client's experience without reinforcing the hallucinations as real. By directly asking the client about their hallucinations, the nurse can gather important information to better understand the client's experience and tailor the care plan accordingly.
Choice A is incorrect because lying down in a quiet room may not address the client's auditory hallucinations.
Choice B is incorrect as it can validate the hallucinations as real, which can exacerbate the client's symptoms.
Choice D is incorrect as avoiding eye contact can create a barrier to communication.
Question 4 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We can provide a copy of your records, but the therapist's notes are not included." This response aligns with ethical guidelines and laws that protect the confidentiality of therapist-client communication. Providing therapist's notes without proper authorization may breach confidentiality and harm the therapeutic relationship. Other choices lack professionalism and may undermine the client's trust. Option A implies judgment and defensiveness. Option B can be seen as intrusive and may put the client on the defensive. Option D dismisses the client's request and may discourage open communication. Overall, option C respects confidentiality, maintains boundaries, and upholds the client's right to privacy.
Question 5 of 5
A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Confabulation. Confabulation is the creation of false memories or distortion of actual memories without the intention to deceive. In this scenario, the client is not intentionally lying, but rather recalling a memory that did not occur. This is common in individuals with dementia. Projection (
A) involves attributing one's thoughts or feelings to someone else. Perseveration (
B) is the persistent repetition of a response. Agnosia (
C) is the inability to recognize familiar objects or people. In this case, the client's statement aligns most closely with confabulation, making it the correct choice.