ATI RN
ATI Mental Health Exam N200 Group 2 Exam Questions
Extract:
Question 1 of 5
A client with a diagnosis of schizophrenia says to the student nurse,"The mazurkas are coming. The mazurkas are coming." The client's use of the word "mazurka" is most likely a/an
Correct Answer: C
Rationale: neologism. "Mazurka" is a made-up word in this context characteristic of neologisms in schizophrenia. Loose associations involve disconnected thoughts dyslexia affects reading and flight of ideas involves rapid topic shifts.
Question 2 of 5
A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should a nurse identify as an appropriate indicator of a positive client behavioral change? The client:
Correct Answer: D
Rationale: demonstrated healthy coping mechanisms that decreased anxiety. Recovery from bulimia nervosa involves developing healthy coping mechanisms to manage anxiety and reduce bingeing and purging behaviors. Focusing on foods bingeing without purging or rapid weight gain do not indicate positive behavioral change.
Question 3 of 5
When the nurse admits a client with anorexia nervosa for treatment,the therapeutic milieu should provide: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: observation during and after meals adherence to scheduled meal times and monitoring during bathroom trips prevent purging and establish healthy eating patterns. Fast food trips are inappropriate and daily weight checks are preferred over weekly.
Question 4 of 5
A client tells the nurse,I feel bad because my mother does not want me to return home after I leave the hospital. Which nursing response is therapeutic?
Correct Answer: A
Rationale: You feel that your mother does not want you to come back home? This response uses reflection a therapeutic communication technique to encourage the client to express and explore their feelings further. The other options either dismiss the client's feelings provide unsolicited advice or make assumptions which are less therapeutic.
Question 5 of 5
The nurse understands that which medication has been used with some success in clients diagnosed with anorexia nervosa along with depression?
Correct Answer: A
Rationale: fluoxetine an SSRI has been used successfully to treat anorexia nervosa with comorbid depression by stabilizing mood and reducing obsessive-compulsive behaviors. Sibutramine is withdrawn carbamazepine is for seizures/bipolar and diazepam is for anxiety not suitable for this condition.