ATI RN
Mental Health ATI Practice Questions Questions
Question 1 of 4
A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse's suspicions?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates grandiosity and a sense of superiority, which are key traits of narcissistic personality disorder. The statement reflects an inflated self-image and a belief that others admire and envy them. Choice B is indicative of paranoid delusions, not narcissism. Choice C suggests introversion and introspection, which are not characteristic of narcissistic personality disorder. Choice D, being the life of the party and making new friends, may suggest extraversion but lacks the sense of superiority and entitlement that is typical of narcissism.
Question 2 of 4
A nurse is assessing a client diagnosed with Alzheimer's disease. As part of the assessment, the nurse asks the client to identify common objects. The nurse is assessing for which of the following?
Correct Answer: C
Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize familiar objects, people, or sounds despite intact sensory abilities. In Alzheimer's disease, agnosia is commonly seen due to damage in the brain areas responsible for processing sensory information. Asking the client to identify common objects helps assess their ability to recognize and comprehend the objects correctly. A: Aphasia is the impairment of language function, not object recognition. B: Apraxia is the inability to perform purposeful movements, not related to object recognition. D: Executive functioning involves cognitive processes such as planning, organizing, and decision-making, not directly related to object recognition in Alzheimer's disease.
Question 3 of 4
The nurse is caring for a client diagnosed with HAND resulting from AIDS. Which of the following would be most important for the nurse to assess?
Correct Answer: B
Rationale: The correct answer is B: Cognitive impairment. For a client with HIV-associated neurocognitive disorder (HAND), assessing cognitive impairment is crucial as it directly impacts their ability to perform daily activities and make informed decisions. Cognitive assessment helps in determining the extent of cognitive decline and planning appropriate interventions. Sensory impairment (choice A) may be important but is not the priority in HAND. Social behaviors (choice C) and anxiety state (choice D) are also important but assessing cognitive impairment takes precedence due to its direct impact on the client's overall functioning.
Question 4 of 4
A nurse is planning care for a child who has increased intracranial pressure with a decreased level of consciousness. Which of the following intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Maintain the head at a midline position. This intervention helps to optimize cerebral perfusion and reduce the risk of further increasing intracranial pressure. Placing the head at a midline position promotes proper alignment of the brain structures and facilitates adequate blood flow to the brain. A: Performing active range of motion exercises can increase intracranial pressure and should be avoided in this situation. B: Neurological checks every 4 hours are important but do not directly address the issue of maintaining intracranial pressure. C: Suctioning the airway frequently can also increase intracranial pressure and should be done only when necessary to maintain airway patency. In summary, maintaining the head at a midline position is the most appropriate intervention to manage increased intracranial pressure in a child with a decreased level of consciousness.