ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Self-mutilation. Individuals with borderline personality disorder often engage in self-harming behaviors as a way to cope with intense emotional distress. This behavior is a common symptom of the disorder and requires close monitoring and intervention by healthcare providers.
Choice B, pacing back and forth, is more commonly associated with anxiety disorders rather than borderline personality disorder.
Choice C, preoccupation with details, is more indicative of obsessive-compulsive disorder.
Choice D, disorganized speech, is a symptom often seen in schizophrenia rather than borderline personality disorder.
Therefore, the most likely expectation for a client with borderline personality disorder is self-mutilation due to the nature of the disorder and its associated symptoms.
Question 2 of 5
A nurse is teaching the parent of a school-age child who has ADHD and a prescription for atomoxetine 40 mg daily. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Administer the medication before the child goes to school in the morning. This is because atomoxetine is a medication used to treat ADHD and is usually taken once daily in the morning. By taking it in the morning before school, the child can benefit from the therapeutic effects during the day when focus and attention are needed the most.
Choice A is incorrect because weight gain is not a common side effect of atomoxetine.
Choice B is incorrect because atomoxetine should not be crushed and mixed with juice as it may alter the medication's effectiveness.
Choice C is incorrect because therapeutic effects of atomoxetine may take several weeks to become noticeable, not within 24 hours.
Question 3 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.
Question 4 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Implement consequences until the client takes the medication. In this scenario, the client's refusal to take prescribed medication could be detrimental to their health and well-being. By implementing consequences, the nurse is establishing boundaries and reinforcing the importance of following the treatment plan. This approach helps ensure the client's safety and promotes therapeutic compliance.
A: Informing the client that he does not have the right to refuse medication is not a therapeutic approach and could lead to a power struggle.
B: Administering the medication via IM injection without the client's consent violates their autonomy and could damage the nurse-client relationship.
C: Offering the medication at the next scheduled dose time may not address the client's refusal and could prolong the issue.
D: Implementing consequences is the most appropriate action to address the client's refusal and emphasize the importance of medication compliance.
Question 5 of 5
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?
Correct Answer: D
Rationale: The correct answer is D: Decrease the number of verbal outbursts. This goal is appropriate for a client with antisocial personality disorder as it aims to address a specific behavioral symptom common in this population, promoting a more positive and effective interaction with others. Verbal outbursts can lead to conflict and negative consequences for the client, so reducing them can improve their social functioning.
Choice A (Use projection during group therapy) is incorrect because encouraging projection can exacerbate the client's tendency to blame others for their actions, reinforcing maladaptive behaviors.
Choice B (Increase self-esteem) is not the most relevant goal for addressing antisocial behavior specifically.
Choice C (Use bargaining skills for behavioral consequences) may not be effective as clients with antisocial personality disorder often have difficulty adhering to agreements and may manipulate situations for personal gain.