ATI RN
ATI RN Mental Health 2023 III 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: A
Rationale: The correct answer is A: Establish confidentiality guidelines with the client. This is the first action the nurse should take to build trust and establish a therapeutic relationship. Confidentiality is crucial in mental health care to ensure clients feel safe sharing personal information. Sharing information about the disorder (choice
B) may be important but should come after confidentiality is established. Assisting the client with coping strategies (choice
C) and helping them make behavioral changes (choice
D) are interventions that can be implemented once a trusting relationship is in place.
Question 2 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale:
Correct
Answer: A - Have you noticed an increase in thirst?
Rationale: Olanzapine, an antipsychotic medication, can cause side effects such as increased thirst due to its anticholinergic properties. Asking the client about increased thirst can help monitor for potential side effects.
Summary:
B: Unintentional weight loss is not a common side effect of olanzapine, so it is not a priority question.
C: Ringing in the ears is not typically associated with olanzapine use, so this question is not relevant.
D: Decreased taste is not a common side effect of olanzapine, making this question less important than asking about increased thirst.
Question 3 of 5
A nurse is caring for a client following a physical assault. The client states, I don't remember what happened to me. The nurse should recognize that the client is using which of the following defense mechanisms?
Correct Answer: B
Rationale: The correct answer is B: Repression. Repression is a defense mechanism where unpleasant or threatening thoughts or memories are pushed into the unconscious mind. In this scenario, the client's inability to remember the assault indicates that their mind is blocking out the traumatic event as a way to protect themselves from the emotional distress associated with it. Rationalization (
A) is when a person justifies their behavior, displacement (
C) is redirecting emotions to a substitute target, and denial (
D) is refusing to accept reality. In this case, repression is the most fitting defense mechanism as it aligns with the client's memory loss related to the assault.
Question 4 of 5
A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for self-harm?
Correct Answer: A
Rationale: The correct answer is A: "Have you ever felt you should decrease your consumption of alcohol?" This question assesses the client's potential risk for self-harm by addressing the issue of alcohol consumption, which is a common risk factor for self-harm behaviors. Clients who feel the need to decrease their alcohol intake may be at higher risk for self-harm.
Choice B is incorrect as it focuses on liver damage and not on self-harm risk.
Choice C is irrelevant to self-harm risk assessment.
Choice D addresses family alcohol use but does not directly assess the individual's risk for self-harm. It is important to ask specific questions related to self-harm behaviors to accurately assess the client's risk.
Question 5 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 a fear of abandonment, leading to frantic efforts to avoid real or imagined separation. This can manifest as clingy behavior, extreme emotional reactions to perceived rejection, and difficulty tolerating being alone. This finding is a hallmark of borderline personality disorder and is crucial for the nurse to assess and address in their care plan. The other options are incorrect because individuals with borderline personality disorder may actually have a strong desire for interpersonal relationships, may struggle with impulsivity and unstable sense of self rather than reluctance to discard objects, and may have difficulties with employment due to emotional dysregulation rather than inability to maintain employment.