ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: Establish confidentiality guidelines with the client. This is the first step in building a trustful nurse-client relationship, especially in mental health settings where privacy is crucial. By setting clear confidentiality guidelines, the nurse ensures the client's information is kept confidential, fostering a sense of safety and trust. This initial step lays the foundation for open communication and collaboration between the nurse and the client.
Choice A is incorrect because assisting the client with coping strategies comes after establishing trust and confidentiality.
Choice C is incorrect as helping the client make behavioral changes is a later stage in the therapeutic process.
Choice D is incorrect because sharing information about the disorder should come after the trust has been established and confidentiality guidelines have been discussed.
Question 2 of 5
A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: D
Rationale: The correct answer is D because individuals with severe obsessive-compulsive disorder may experience sensory impairments due to their obsessive thoughts and compulsive behaviors. This can manifest as heightened sensitivity to certain stimuli or a distorted perception of reality. The nurse should assess this client for risks related to these sensory impairments to ensure their safety and well-being.
Choice A (conversion disorder) is incorrect as it is characterized by physical symptoms that are not explained by any underlying medical condition.
Choice B (mild anxiety disorder) is incorrect as sensory impairments are not typically associated with mild anxiety.
Choice C (narcissistic personality disorder) is incorrect as it is a personality disorder characterized by a pattern of grandiosity, need for admiration, and lack of empathy, not sensory impairments.
Question 3 of 5
A nurse is providing teaching to a client who is newly diagnosed with Alzheimer's disease. Which of the following treatment options should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Delay cognitive impairment with NMDA receptor antagonist medications. NMDA receptor antagonists, such as memantine, are commonly used to slow the progression of cognitive decline in Alzheimer's disease by regulating glutamate activity in the brain. This treatment option aims to improve cognitive function and delay the worsening of symptoms. Initiating hospice care (
A) is not appropriate for a client newly diagnosed with Alzheimer's disease. Transcranial magnetic stimulation (
B) may help with depression but does not directly improve cognitive status. Barbiturate medications (
C) are not recommended for anxiety in Alzheimer's disease due to their potential side effects. In summary, choosing NMDA receptor antagonist medications is the most appropriate option to address the client's condition effectively.
Question 4 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: The correct answer is C: The client will attend to personal hygiene. This outcome is important in the treatment of borderline personality disorder as it can improve the client's self-esteem and overall well-being. Personal hygiene is a fundamental aspect of self-care and can help the client feel more in control and confident. It also promotes a sense of normalcy and routine, which can be beneficial in managing symptoms of the disorder.
The other choices are incorrect because:
A: Verbalizing an improved mood may not directly address the core issues of borderline personality disorder.
B: Decrease in hallucinations is more commonly associated with psychotic disorders, not borderline personality disorder.
D: Communicating needs is important, but attending to personal hygiene is more fundamental for daily functioning.
E, F, G: Not provided in the question.
Question 5 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose 256 mg/dL (74 to 106 mg/dL). This finding is concerning because risperidone, an antipsychotic medication, can cause metabolic side effects such as hyperglycemia. High blood glucose levels can lead to serious complications like diabetic ketoacidosis. The nurse should notify the provider for further evaluation and management.
The other choices (B, C,
D) fall within the normal reference ranges and do not indicate any immediate concerns related to the client's condition or medication.
Therefore, they do not require immediate notification to the provider.