ATI RN
ATI N200 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe?
Correct Answer: B
Rationale: The correct answer is B: Generates conflict among the staff. Individuals with borderline personality disorder often display impulsive and erratic behaviors that can lead to conflicts in interpersonal relationships. This behavior pattern is a common manifestation of the disorder due to emotional dysregulation and difficulty in maintaining stable relationships. The other choices are less likely as core characteristics of borderline personality disorder. A: Bizarre speech patterns may be seen in other disorders like schizophrenia. C: Social isolation is more characteristic of disorders like social anxiety or avoidant personality disorder. D: Suspiciousness of others is commonly associated with paranoid personality disorder.
Therefore, the behavior pattern of generating conflict aligns best with the diagnosis of borderline personality disorder.
Question 2 of 5
A nurse is caring for a 22-year-old female client who has bulimia nervosa and frequently self-induces vomiting. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)
Correct Answer: A B C E
Rationale:
Correct
Answer: A B C E
Rationale:
A: Amenorrhea is common in individuals with bulimia due to hormonal imbalances from nutritional deficiencies.
B: Dental erosion is expected due to repeated exposure of stomach acid from self-induced vomiting.
C: Dry oral mucosa can occur from dehydration and electrolyte imbalances associated with bulimia.
E: Presence of lanugo, fine hair growth on the body, indicates malnutrition commonly seen in bulimia.
Incorrect
Choices:
D: Icteric sclera is not typically associated with bulimia; it is a sign of liver dysfunction.
F, G: These choices are not applicable to the specific manifestations of bulimia nervosa.
Question 3 of 5
A patient in an abusive relationship is hospitalized with abdominal and head trauma caused by their partner. The partner sends flowers to the patient and pizzas for all the staff. Via video chat the partner tearfully begs the patient to forgive them and not press charges. The partner states "I just want you me and the kids to be together. You know you do too." What conclusions can the nurse make about this scenario? (SELECT ALL THAT APPLY)
Correct Answer: A B E
Rationale: The correct answers are A, B, and E.
A) Sending flowers after abuse is an example of undoing, a tactic used to manipulate the victim into forgiving the abuser.
B) The partner's tearful plea and gifts suggest they are in the honeymoon phase, where the abuser tries to regain control after an incident of abuse. E) Sending pizzas to the staff can be a manipulation tactic to garner sympathy. Incorrect answers:
C) Assuming the patient has a submissive personality and depression is a judgment and not supported by the scenario.
D) Hospitalization does not necessarily indicate the end of the relationship.
Question 4 of 5
A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Give the dose in the morning to help prevent insomnia. Atomoxetine is a non-stimulant medication commonly used to treat ADHD. Instructing the parents to give the dose in the morning helps minimize the risk of insomnia, a common side effect of the medication. It is important to give atomoxetine in the morning to avoid disrupting the child's sleep-wake cycle. Other choices are incorrect because: A: Hyperactivity is not a common adverse effect of atomoxetine. C: There is no specific need to avoid crowds for infection risk with atomoxetine. D: There is no evidence to suggest atomoxetine causes excessive weight gain.
Question 5 of 5
A nurse is assessing a client with schizophrenia. Which symptom is most characteristic of this disorder?
Correct Answer: A
Rationale: The correct answer is A: Flat affect. Schizophrenia is characterized by a flat affect, which is a lack of emotional expression. This symptom is a key feature of schizophrenia as individuals with this disorder often exhibit a limited range of emotions. Excessive sleeping (choice
B), compulsive eating (choice
C), and social phobia (choice
D) are not specific to schizophrenia and can be present in other mental health conditions. Flat affect is a core symptom of schizophrenia and is crucial in differentiating it from other disorders.