ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Obtain a prescription for seclusion within 30 minutes. This action is crucial as seclusion should only be implemented with a physician's order to ensure the client's safety and rights are protected. The nurse must promptly obtain this order to ensure the client's needs are met in a timely manner.
Choice A is incorrect because documenting the client's behavior every 60 minutes does not address the immediate need for a physician's order for seclusion.
Choice B is incorrect as there is no specific time limit for seclusion, and it should only be ended with a physician's approval.
Choice D is incorrect as monitoring vital signs every 4 hours is important but not as urgent as obtaining the seclusion prescription.
Question 2 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: The correct answer is A: The client is constantly talking. In bipolar disorder, during the manic phase, individuals often exhibit rapid speech, impulsivity, and excessive talking. This behavior is a hallmark of mania. The other choices are incorrect because expressing feelings of inferiority (
B) is more indicative of depression, memory loss (
C) could be a symptom of various conditions but not specific to mania, and sleeping over 10 hours a day (
D) is more characteristic of depression or sedation from medication.
Question 3 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because improving communication of needs is a key therapeutic goal for clients with borderline personality disorder. Effective communication can help reduce impulsive behaviors and enhance interpersonal relationships. Verbalizing improved mood (
A) may not address the underlying emotional dysregulation. Attending to personal hygiene (
B) is important but may not directly address the core issues of the disorder. Reporting a decrease in hallucinations (
D) is more relevant to psychotic disorders. Other choices are not provided, but focusing on communication skills is crucial for managing this disorder effectively.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Preoccupation with details. Individuals with obsessive-compulsive personality disorder are known for their perfectionism and preoccupation with details. This trait can manifest in their need for precision and order in various aspects of their life. This behavior is a key characteristic of this personality disorder.
Choice A, Exploitative behavior, is more commonly seen in individuals with antisocial personality disorder.
Choice B, Lack of empathy, is more associated with narcissistic personality disorder.
Choice C, Excessive clinging, is not a typical feature of obsessive-compulsive personality disorder.
In summary, the other choices are incorrect because they do not align with the characteristic traits commonly seen in individuals with obsessive-compulsive personality disorder.
Question 5 of 5
A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use short, simple sentences when speaking to the client. This is the most appropriate action because individuals with moderate anxiety may have difficulty concentrating and processing complex information. Using short, simple sentences can help the client better understand and retain the information provided.
Summary:
B: Showing a 30-minute teaching video can overwhelm the client and may not be effective in addressing the client's anxiety.
C: Providing detailed explanations may confuse the client and increase their anxiety levels.
D: Avoiding asking the client questions can hinder the nurse's ability to assess the client's understanding and address any concerns they may have.