ATI RN
ATI RN Mental Health 2023 Questions
Question 1 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Provide written information about the client's treatment plan. This is important for a client with paranoid personality disorder as it helps establish trust through transparency and consistency. Providing written information ensures clarity and minimizes misunderstandings that may trigger paranoia.
Choice B is incorrect as encouraging countertransference can jeopardize the therapeutic relationship.
Choice C is incorrect as splitting behaviors are not typically associated with paranoid personality disorder.
Choice D is incorrect as isolating the client can exacerbate feelings of suspicion and mistrust.
Question 2 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Plan a menu with the client. This is important because involving the client in meal planning empowers them to make healthier food choices and develop a structured eating routine, which can help in managing binge eating disorder. Weighing the client every other day (
Choice
A) may exacerbate anxiety and reinforce unhealthy focus on weight. Remaining with the client for 1 hr after meals (
Choice
B) may not address the root causes of binge eating. Offering snacks when the client is hungry (
Choice
C) may not address the underlying issues of the disorder and could potentially encourage unhealthy eating behaviors.
Question 3 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Option B, "You sound upset about today's session," is the most appropriate response because it acknowledges the client's feelings without dismissing or minimizing them. By reflecting the client's emotions, the nurse demonstrates empathy and validates the client's experience. This response opens up a space for the client to express their feelings further and facilitates a therapeutic dialogue.
Incorrect
Choices:
A: Asking "Why do you think that he said that to you?" places the focus on the client's interpretation rather than validating their emotions.
C: "I think you should ignore the comment" dismisses the client's feelings and does not address the impact of the inappropriate comment.
D: "I agree that the comment was inappropriate" does not address the client's emotional state and may come off as insincere.
Question 4 of 5
A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
Question 5 of 5
A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?
Correct Answer: D
Rationale: Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.