ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Question 1 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express feelings of anger. This intervention helps the client explore and process underlying emotions contributing to self-mutilation. It promotes emotional awareness and healthy coping mechanisms. Restricting personal belongings (
A) may escalate feelings of frustration. Seclusion (
C) can be traumatic and worsen abandonment fears. Telling the client to stop (
D) oversimplifies a complex issue and may lead to resistance.
Question 2 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interfere with the metabolism of buspirone, leading to increased levels of the medication in the body, potentially causing adverse effects.
Choice A is incorrect because buspirone is not typically taken as needed for acute anxiety but rather on a regular schedule.
Choice B is incorrect as sedation and drowsiness are not common side effects of buspirone.
Choice D is incorrect as buspirone is not associated with a risk for dependence.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Inability to carry out a simple task. During a depressive episode in bipolar disorder, individuals often experience cognitive impairment, including difficulty concentrating and making decisions. This can lead to an inability to carry out simple tasks.
Choices B, C, and D are more indicative of symptoms seen in manic episodes, such as auditory hallucinations (
B), racing thoughts (
C), and grandiosity (
D). By understanding the characteristic symptoms of bipolar disorder episodes, the nurse can appropriately assess and provide interventions for the client.
Question 4 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 5 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. During adolescence, individuals go through Erikson's stage of Identity vs role confusion, where they explore and develop their own sense of self and try to establish a clear identity. This stage typically occurs during the teenage years, when adolescents are trying to figure out who they are, what they believe in, and what roles they want to play in society. This is a crucial period for developing a strong sense of self and personal identity.
Choices A, B, and C are incorrect because they correspond to different stages in Erikson's theory that do not align with the developmental tasks of adolescence. Generativity vs self-absorption is a stage typically seen in middle adulthood, Trust vs mistrust is seen in infancy, and Intimacy vs isolation is seen in early adulthood. These stages do not apply to the adolescent age group and their current developmental needs.