ATI RN
ATI RN Mental Health 2023 Exam 2 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: D
Rationale: The correct answer is D: Establish confidentiality guidelines with the client. This is the first step to building trust in the nurse-client relationship, essential in mental health care. Confidentiality assures the client that their personal information will be kept private, promoting openness and honesty. By discussing confidentiality guidelines upfront, the nurse shows respect for the client's privacy and fosters a safe environment for them to share sensitive information.
Choices A, B, and C focus on interventions that come later in the nurse-client relationship. Helping the client use coping strategies, make behavioral changes, and educating them about their disorder are important steps but should follow after establishing trust and confidentiality. It is crucial to prioritize building a strong foundation of trust before moving on to other aspects of care.
Question 2 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.
Extract:
Medication Administration Record
• Escitalopram 20 mg once daily
Medical History
Client is 19 years old, has severe anxiety, and was admitted to an inpatient mental health facility for observation and behavioral therapy 2 weeks ago. The client’s weight at the time of admission was 54.4 kg (120 lb). The client reported sleeping 3 to 4 hours per night due to recurrent nightmares as well as a decrease in appetite. The client’s family member stated that the client had separated themselves from friends, refused to leave their house, and picked their skin until it bled. The client’s family member stated that there is a family history of anxiety. The client reported previous participation in cognitive-behavioral therapy.
Nurses’ Notes
Client appears to be well-groomed. The client’s current weight is 54 kg (119 lb). The client states they are sleeping 5 to 6 hours per night but having an occasional nightmare. The client verbalizes decreased appetite and gastrointestinal discomfort. The client states, “I feel anxious about leaving my house. I feel like everyone is staring at me and judging me.” The client verbalizes that bullying experienced during high school has led to anxiety. The client engages in thought-stopping behavioral therapy and cognitive restructuring. The client reports taking escitalopram 20 mg daily 2 hours after breakfast.
Question 3 of 5
A nurse working in an outpatient mental health facility is caring for a client who has anxiety and was discharged from an inpatient mental health facility 1 week ago.Exhibits: A nurse in an outpatient mental health facility is assessing a client who has anxiety. Click to highlight the findings in the Nurses’ Notes that indicate an improvement in the client’s condition. To deselect a finding, click on the finding again.
Correct Answer: A,C,E,F
Rationale: The correct answer is A, C, E, F. A: Well-groomed appearance indicates self-care and improvement in mood. C: Verbalizing decreased appetite and gastrointestinal discomfort may indicate decreased anxiety symptoms. E: Engaging in thought-stopping therapy and cognitive restructuring shows active participation in treatment. F: Taking prescribed medication as directed indicates compliance with the treatment plan. These findings suggest the client's condition is improving.
Choices B, D, and G do not indicate clear improvement in the client's condition. B: Occasional nightmares suggest ongoing sleep disturbances. D: Statement about anxiety leaving the house indicates ongoing anxiety symptoms. G: Past bullying experiences may contribute to the client's anxiety but do not directly indicate improvement in the current condition.
Extract:
Question 4 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms by reducing anxiety and preventing seizures. It acts by enhancing the inhibitory effects of gamma-aminobutyric acid (GAB
A) in the brain, helping to stabilize the client during withdrawal. Disulfiram (
A) is used to deter alcohol consumption by causing unpleasant effects if alcohol is consumed. Bupropion (
C) is an antidepressant and is not typically used for alcohol withdrawal. Buprenorphine (
D) is a medication used for opioid addiction and is not typically indicated for alcohol withdrawal.
Question 5 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.