ATI RN
ATI Engage Mental Health Personality Disorders Quizlet Questions
Question 1 of 9
Phillip, a 63-year-old male, has exposed his genitals in public for all of his adult life, but the act has lost some of the former thrill. A rationale for this change in his experience may be:
Correct Answer: C
Rationale: The correct answer is C: Desire waning with age. As individuals age, their sexual desires and behaviors may change. In this case, Phillip may be experiencing a decrease in his desire for exhibitionism as he grows older. This is a common phenomenon as people's sexual interests and behaviors can evolve over time. A: An increasing sense of shame - While shame could potentially be a factor, it is not the most likely reason for the change in Phillip's behavior. B: Disgust over his lack of control - This choice does not directly address the decrease in thrill experienced by Phillip and is less likely to be the primary reason for his change in behavior. D: Progression into actual assault - This choice is not supported by the information provided in the question and is an extreme assumption without any evidence.
Question 2 of 9
After interviewing a patient about social supports, the nurse determines that the patient is experiencing emotional support from these social supports based on which statement?
Correct Answer: A
Rationale: The correct answer is A because the statement reflects emotional support through the availability of someone to talk to, which is a key aspect of emotional support. Choice B refers to instrumental support (help with tasks), C refers to tangible support (financial assistance), and D refers to informational support (providing health-related information). Emotional support involves providing empathy, listening, and understanding, making choice A the most appropriate selection in this context.
Question 3 of 9
A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective?
Correct Answer: A
Rationale: The correct answer is A: Weight loss. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism. When the medication is effective, it helps normalize the body's thyroid hormone levels, which can lead to an increase in metabolism and potential weight loss. This is a common therapeutic effect seen in patients with hypothyroidism. Summary of other choices: B: Decreased blood pressure - Levothyroxine is not primarily used to treat hypertension, so a decrease in blood pressure would not be a direct indication of the medication's effectiveness. C: Absence of seizures - Levothyroxine does not directly affect seizure activity, so this would not be a typical indicator of its effectiveness. D: Decrease inflammation - Levothyroxine is not specifically indicated for reducing inflammation, so a decrease in inflammation would not be a direct measure of the medication's effectiveness in treating hypothyroidism.
Question 4 of 9
What is the number one chronic illness according to the National Council on Aging?
Correct Answer: C
Rationale: The correct answer is C: arthritis. Arthritis is the number one chronic illness according to the National Council on Aging due to its high prevalence among older adults. Arthritis causes joint pain, stiffness, and decreased mobility, impacting quality of life. Heart failure (A) and hypertension (D) are also common chronic conditions but are not ranked as the number one chronic illness by the National Council on Aging. Diabetes (B) is a significant chronic illness but is not the primary focus of the National Council on Aging's ranking. Arthritis's impact on daily functioning and quality of life makes it the top chronic illness for older adults.
Question 5 of 9
The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has 'one ear that is obviously bigger than the other ear.' The nurse observes that one of the client's ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?
Correct Answer: D
Rationale: The correct answer is D: Body dysmorphic disorder. Body dysmorphic disorder is characterized by an excessive preoccupation with a perceived flaw in physical appearance that is not observable or appears minor to others. In this scenario, the client's belief that one ear is significantly larger than the other, when it is not observable to the nurse, aligns with symptoms of body dysmorphic disorder. This disorder often leads to significant distress and impaired social functioning. A: Complex somatic symptom disorder involves a preoccupation with physical symptoms, but the client's concern is about appearance, not physical symptoms. B: Functional neurologic symptoms involve neurological symptoms without a known neurological condition, which is not evident in this case. C: Factitious disorder involves fabricating or exaggerating symptoms for psychological reasons, which is not the case here.
Question 6 of 9
What type of personality disorder is characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs?
Correct Answer: A
Rationale: The correct answer is A: Cluster A. This cluster includes personality disorders such as paranoid, schizoid, and schizotypal disorders, which are characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs. These individuals often have difficulty forming and maintaining social relationships due to their unusual behaviors and beliefs. Choices B and C (Cluster B and Cluster C) do not specifically encompass personality disorders with eccentric or odd traits. Choice D (General personality disorders) is not a recognized category in the DSM-5 for personality disorders, making it an incorrect choice.
Question 7 of 9
A patient repeatedly stated, "I'm stupi" Which statement by that patient would show progress resulting from cognitive-behavioral therapy?
Correct Answer: A
Rationale: The correct answer is A because it shows a shift in thinking from a global, negative self-view to a more specific acknowledgement of occasional mistakes. This demonstrates progress in cognitive restructuring, a key component of cognitive-behavioral therapy. Choice B reflects a pattern of negative thinking without self-reflection, while choice C indicates a fear of failure in trying new things. Choice D shows self-criticism without recognition of potential for improvement. Overall, choice A is the most indicative of cognitive-behavioral therapy progress by acknowledging specific instances of behavior rather than a global self-assessment.
Question 8 of 9
You are caring for Naomi who has been arrested and is found to be at risk for alcohol and drug use. Which approach is thought to be most useful in treating Naomi?
Correct Answer: B
Rationale: The correct answer is B because providing an immediate drug/alcohol treatment plan is crucial for addressing Naomi's substance use issue effectively. By providing immediate treatment, Naomi can receive the necessary support and interventions to address her substance use and prevent potential relapse. This approach ensures that Naomi's needs are addressed promptly and increases the likelihood of successful recovery. A: Recommending treatment after release may delay necessary interventions and increase the risk of substance use continuation. C: Immediately withdrawing all medications can be harmful and dangerous, especially without proper medical supervision. D: Isolating the patient can lead to feelings of abandonment and worsen the substance use issue without addressing the root cause.
Question 9 of 9
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, 'My throat is sore, and I feel weak.' The nurse assesses the client's vital signs and finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain which laboratory test?
Correct Answer: A
Rationale: The correct answer is A: A white blood cell count. Clozapine can cause agranulocytosis, a serious condition characterized by a severe decrease in white blood cells. The client's symptoms of sore throat, weakness, fever, and recent initiation of clozapine raise suspicion for agranulocytosis. A white blood cell count is crucial to monitor for this adverse effect. B: Liver function studies are not the priority in this case, as the symptoms and findings are more indicative of a potential hematologic issue than liver dysfunction. C: Serum potassium level is not the most relevant test to order in this scenario, as the client's symptoms and history are more concerning for a hematologic issue rather than a potassium imbalance. D: Serum sodium level is not the most appropriate test to request, as the client's symptoms and history do not suggest a primary issue related to sodium imbalance.