ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Question 1 of 5
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?
Correct Answer: C
Rationale: The correct answer is C: Little tolerance for being alone. Borderline personality disorder is characterized by intense fear of abandonment, unstable relationships, and a pattern of unstable self-image. Individuals with this disorder often exhibit behaviors such as frantic efforts to avoid real or imagined abandonment, extreme mood swings, impulsivity, and a pattern of unstable relationships. The lack of tolerance for being alone is a common trait due to the fear of abandonment.
Choices A, B, and D are incorrect because individuals with borderline personality disorder typically struggle with controlling anger, have unstable and unsatisfactory relationships, and exhibit unpredictable behavior rather than predictability.
Question 2 of 5
An 11-year-old, who is diagnosed with oppositional defiant disorder, becomes angry and disruptive over the rules of the day treatment program. The nurse should de-escalate the situation by:
Correct Answer: D
Rationale: The correct answer is D: suggesting that the child go into the gym and shoot some baskets. This option promotes redirection and allows the child to release built-up tension in a positive manner. It encourages physical activity which can help regulate emotions. Calling staff to place the child in seclusion (
A) or using physical restraints (
B) may escalate the situation and cause further distress. Providing a pm anxiolytic medication (
C) should not be the first intervention for managing behavioral outbursts in this age group.
Question 3 of 5
A 7-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. The nurse should monitor for which desired outcome?
Correct Answer: D
Rationale: The correct answer is D: Participation in play activities. Monitoring for this outcome is essential for a 7-year-old with ADHD because engaging in play activities can help channel their hyperactivity positively, improve focus, and enhance social skills. Play also serves as a form of therapy for children with ADHD. Refraining from manipulative behaviors (choice
A) is not directly related to managing ADHD symptoms. Redirection of violent behaviors (choice
B) is important but not the primary goal for a child with ADHD. Withdrawal when frustrated (choice
C) is an undesirable outcome as it may indicate difficulty coping with emotions.
Question 4 of 5
A nurse is providing care for a client who is malnourished and appears exhausted. What data would cause the nurse to suspect the client is a victim of human trafficking? The client :
Correct Answer: B
Rationale:
Rationale:
Choice B is correct as the family member's control restricts the client's ability to communicate freely, a common tactic in human trafficking. This lack of autonomy and control is a red flag.
Choices A, C, and D do not directly indicate human trafficking. A non-working cell phone (
A) could be due to various reasons. Being from another state (
C) or speaking another language (
D) are not definitive signs of trafficking.
Question 5 of 5
The highest priority nursing action relative to the initial phase of alcohol withdrawal would be to:
Correct Answer: C
Rationale: The correct answer is C: replace fluids. During alcohol withdrawal, there is a risk of dehydration due to excessive sweating, vomiting, and decreased oral intake. Replacing fluids helps maintain electrolyte balance and prevents complications like hypovolemia. Orienting to reality (choice
A) is important but not the highest priority in the initial phase. Identifying social supports (choice
B) is valuable for long-term recovery but not immediate. Applying restraints (choice
D) should be avoided unless absolutely necessary for safety.