ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?
Correct Answer: A
Rationale: The correct answer is A: Promote appropriate behavior during group therapy sessions. This is the priority intervention because individuals with histrionic personality disorder often seek attention and may exhibit disruptive behavior in group settings. By promoting appropriate behavior, the nurse can help create a therapeutic environment for all clients. Encouraging client input in the treatment plan (choice
B) is important but may not address immediate behavioral concerns. Communicating with concrete language (choice
C) can be helpful but is not the priority in managing disruptive behavior. Demonstrating assertive behavior (choice
D) may not be as effective as actively promoting appropriate behavior in this context.
Question 2 of 5
A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, “I'm being kept in this prison against my will. Please try to get me out.” Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Reassuring the client while maintaining the reality of the situation helps manage delusional thoughts.
Question 3 of 5
A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "Let's work together to devise a time schedule that is convenient for you on a daily basis." This answer is correct because it promotes patient-centered care by involving the client in decision-making and ensuring adherence to medication schedules. By collaborating with the client to find a convenient schedule, the nurse increases the likelihood of medication compliance.
Incorrect choices:
A: "You really shouldn't change the schedule we established here in the facility." - This is incorrect as it disregards the client's individual needs and preferences.
C: "I'll have to talk to your provider about switching to an alternative schedule." - This is incorrect as it does not involve the client in decision-making and may cause delays in finding a suitable schedule.
D: "It doesn't really matter what time you take your medications as long as you don't skip any doses." - This is incorrect as specific medication intervals are crucial for therapeutic effectiveness.
Question 4 of 5
A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Anorexia nervosa is often associated with amenorrhea, distorted body image, excessive activity, and bradycardia due to malnutrition.
Question 5 of 5
A nurse is caring for a client who has schizophrenia. The client states, "The government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?
Correct Answer: A
Rationale: Persecutory delusions involve irrational beliefs that one is being targeted or harmed by external forces.