ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Intense efforts to avoid abandonment. Individuals with borderline personality disorder often exhibit fear of abandonment leading to intense efforts to avoid it. This behavior is a key feature of the disorder, characterized by frantic attempts to avoid real or imagined separation. This finding is supported by the Diagnostic and Statistical Manual of Mental Disorders criteria for borderline personality disorder.
Choices A, B, and C are incorrect because while individuals with borderline personality disorder may experience difficulty in maintaining employment, have impulsivity leading to reckless spending or hoarding, and struggle with unstable relationships, the most characteristic feature related to the fear of abandonment is intense efforts to avoid it.
Question 2 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Varenicline. This is because Varenicline is a medication specifically indicated for smoking cessation. It works by reducing the pleasurable effects of nicotine and decreasing cravings. Naltrexone (
A) is used for alcohol and opioid dependence, not smoking cessation. Donepezil (
B) is used to treat Alzheimer's disease. Disulfiram (
D) is used to deter alcohol consumption by causing unpleasant effects when alcohol is ingested. Hence, the nurse should expect the provider to prescribe Varenicline to help the client quit smoking effectively.
Question 3 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I will tell your provider that you would like a treatment other than massage." This response shows respect for the client's preferences and autonomy. It acknowledges the client's discomfort and offers an alternative solution by involving the provider in exploring other treatment options. It demonstrates empathy and promotes client-centered care.
Choice A is incorrect because it dismisses the client's concerns and minimizes their feelings.
Choice B addresses the issue superficially by suggesting gloves without addressing the underlying discomfort.
Choice C focuses on the reason for the dislike rather than addressing the immediate issue of finding an alternative treatment.
Question 4 of 5
A nurse is caring for a client who is going through the grieving process. Which of the following actions should the nurse take to meet the client's spiritual needs?
Correct Answer: A
Rationale: The correct answer is A: Offer to contact the client's spiritual advisor if they have one. This is the most appropriate action because it acknowledges and respects the client's spiritual beliefs and provides support in accessing spiritual guidance. Contacting the client's spiritual advisor can help the client navigate their grief process in a way that aligns with their spiritual beliefs and values.
Choice B is incorrect because changing the subject when the client expresses anger can invalidate their emotions and hinder the grieving process.
Choice C is incorrect as it may isolate the client further, leading to increased feelings of spiritual inadequacy.
Choice D is incorrect as encouraging the client to internalize their feelings can be detrimental to their emotional well-being. It is important to validate and support the client's emotions during the grieving process.
Question 5 of 5
A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Identify the client's current stage of grief. This is the priority because understanding the client's current stage of grief allows the nurse to tailor interventions accordingly. By assessing the client's stage, the nurse can provide targeted support and interventions to help the client process and cope with their grief effectively.
Choice B is incorrect because while informing the client about expected feelings is important, it is not the priority over assessing the current stage of grief.
Choice C is incorrect as physical activities may not be suitable or helpful depending on the client's stage of grief.
Choice D is also incorrect as discussing the use of a spiritual grief counselor should come after assessing the client's current needs and preferences.