A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?

Questions 20

ATI RN

ATI RN Test Bank

ATI Mental Health Test Bank Questions

Question 1 of 4

A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?

Correct Answer: C

Rationale: The correct answer is C: Participating in relationships in which the client has control. In borderline personality disorder, individuals often struggle with issues of control and impulsivity. They may seek relationships where they can exert control to manage intense emotions and fear of abandonment. This behavior is a common manifestation of the disorder. Choices A and B are less likely as individuals with borderline personality disorder may have difficulties with group participation and openly expressing feelings due to fear of rejection or abandonment. Choice D is incorrect as individuals with this disorder often struggle with personal boundaries and may violate them in relationships.

Question 2 of 4

An adolescent client is seen in the emergency department with symptoms of dementia, tremors, and ataxia. The client had been sniffing glue with a friend. The nurse suspects the client's symptoms were caused by poisoning with which of the following?

Correct Answer: C

Rationale: The correct answer is C: Toluene. Toluene is a solvent found in glue and can cause symptoms of dementia, tremors, and ataxia when inhaled. Mercury (A), lead (B), and arsenic (D) are toxic substances but do not typically present with these specific symptoms after glue sniffing. Mercury poisoning can cause neurological symptoms, lead poisoning can lead to developmental delays, and arsenic poisoning can result in gastrointestinal symptoms. Toluene exposure is associated with neurological effects due to its impact on the central nervous system.

Question 3 of 4

The nurse is performing an admission assessment on a forensic client. Which of the following would be most important for the nurse to include when explaining the purpose of the assessment to the client?

Correct Answer: D

Rationale: Step 1: The nurse's priority is to address the client's mental health and behavioral issues to provide appropriate treatment and support. Step 2: Focusing on mental health and behavior helps establish a therapeutic relationship and assess the client's immediate needs. Step 3: Discussing specific crimes may trigger distress or legal concerns, hindering the therapeutic process. Step 4: Avoiding detailed discussions of crimes maintains client confidentiality and respects their dignity. Summary: Option D is correct because it prioritizes mental health assessment over discussing specific crimes, ensuring a client-centered approach and fostering a safe therapeutic environment. Choices A, B, and C are incorrect as they prioritize irrelevant or potentially harmful information over the client's well-being.

Question 4 of 4

A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP?

Correct Answer: D

Rationale: The correct answer is D because a client who had a cerebrovascular accident two days ago and needs help toileting can be safely assigned to an AP. This task does not require specialized nursing knowledge or assessment skills. The AP can assist with toileting safely under the supervision of the nurse. Choices A, B, and C require nursing assessment, intervention, or evaluation of the client's condition, which should be done by a nurse. Assigning these tasks to an AP could compromise client safety and proper care.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions