ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
A family describes a client diagnosed with bipolar disorder as being 'on the move.' The client sleeps 3-4 hours nightly, spends excessively, and has recently lost 10 pounds. During the initial client assessment, which response would the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Disorganized thinking and the inability to remain seated. This is because the client's symptoms indicate a manic episode, which is a key feature of bipolar disorder. Manic episodes are characterized by increased energy levels, decreased need for sleep, impulsivity, excessive spending, and weight loss. Disorganized thinking and inability to remain seated are common manifestations of the high energy and racing thoughts associated with mania. The other choices are incorrect because they do not align with the typical symptoms of a manic episode in bipolar disorder.
Choice A does not reflect the client's current state of heightened activity and impulsivity.
Choice B may be more indicative of a depressive episode rather than a manic episode.
Choice C suggests symptoms of depression rather than mania.
Question 2 of 5
An adolescent diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance?
Correct Answer: A
Rationale: The correct answer is A: Encourage dividing tasks into smaller, attainable steps and reward successful completion. This intervention aligns with the principles of behavioral therapy for ADHD. Breaking tasks into smaller steps helps the adolescent focus better and feel a sense of accomplishment with each completed step. Rewarding successful completion reinforces positive behavior and motivation.
Incorrect
Choices:
B: Removing privileges can be punitive and may not address the underlying issues of ADHD, potentially leading to increased stress and decreased motivation.
C: Discontinuing methylphenidate, a common treatment for ADHD, may exacerbate symptoms and hinder task performance.
D: Mandating isolation until homework is complete can increase feelings of isolation and anxiety, further impacting concentration and task performance.
Question 3 of 5
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?
Correct Answer: C
Rationale: The correct answer is C: Little tolerance for being alone. Borderline personality disorder is characterized by intense fear of abandonment, unstable relationships, and a pattern of unstable self-image. Individuals with this disorder often exhibit behaviors such as frantic efforts to avoid real or imagined abandonment, extreme mood swings, impulsivity, and a pattern of unstable relationships. The lack of tolerance for being alone is a common trait due to the fear of abandonment.
Choices A, B, and D are incorrect because individuals with borderline personality disorder typically struggle with controlling anger, have unstable and unsatisfactory relationships, and exhibit unpredictable behavior rather than predictability.
Question 4 of 5
Which predisposing factor obtained during the nursing assessment would cause the nurse to consider a child to be at risk for the development of a psychiatric disorder?
Correct Answer: B
Rationale: The correct answer is B: Being raised by multiple caregivers. This predisposing factor can lead to attachment issues, insecurity, and emotional instability in children, increasing their risk for developing psychiatric disorders. Marital harmony (
A) is important but not directly linked to psychiatric disorders in children. Regular prenatal care (
C) is essential for physical health but not directly related to psychiatric disorders. Developmental milestones (
D) being achieved on schedule is a positive sign but does not necessarily indicate protection from psychiatric disorders.
Question 5 of 5
A client has been taking oxycodone for pain. The client has returned three times for refills of the prescription. In addition to slurred speech, which assessment leads the nurse to suspect opioid intoxication?
Correct Answer: C
Rationale: The correct answer is C: Constricted pupils. Opioid intoxication typically causes miosis, or constricted pupils, due to the effects on the autonomic nervous system. This is a classic sign of opioid use. Slurred speech is also a common symptom of opioid intoxication, but constricted pupils are a more specific assessment finding.
Choices A, B, and D are not indicative of opioid intoxication. Lability of mood (
A) and hypervigilance (
B) are more commonly associated with other conditions such as mood disorders or anxiety. Increased respirations (
D) are not typical in opioid intoxication, as opioids tend to depress the respiratory system.