ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. Adolescents typically fall within Erikson's stage of Identity vs role confusion, where they explore their sense of self and develop a cohesive identity. During this stage, they may experiment with different roles and beliefs to establish their self-concept. Trust vs mistrust (
B) is the stage for infants, Generativity vs self-absorption (
A) is for middle adulthood, and Intimacy vs isolation (
C) is for young adulthood. The other choices are not relevant to the developmental stage of an adolescent.
Question 2 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps in managing withdrawal symptoms by preventing cravings and reducing the severity of symptoms. It is commonly used in opioid substitution therapy. Disulfiram (
B) is used for alcohol dependence, Naloxone (
C) is an opioid antagonist used for overdose reversal, and Bupropion (
D) is an antidepressant. These medications are not indicated for preventing opioid withdrawal symptoms.
Question 3 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder typically display attention-seeking, dramatic, and overly emotional behavior. They often crave validation and may feel uncomfortable when they are not the center of attention. This behavior is characterized by a strong focus on oneself and a tendency to exaggerate emotions for effect.
Choice A, Suspicious of others, is more indicative of paranoid personality disorder.
Choice B, Callousness, is more characteristic of antisocial personality disorder.
Choice D, Violates others' rights, is more aligned with antisocial or narcissistic personality disorders.
Therefore, the most appropriate manifestation for histrionic personality disorder is self-centered behavior.
Question 4 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease as they may wander and become disoriented. Placing locks at the tops of exterior doors can help prevent them from leaving the home unsupervised, ensuring their safety.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering and may not be necessary for the client's care.
B: Encouraging physical activity prior to bedtime may not be relevant to addressing the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not directly impact the client's safety or wandering behavior.
In summary, choice D is the most appropriate action to address the specific safety concern related to Alzheimer's disease.
Question 5 of 5
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Document the client's behavior every 15 min. This is crucial to monitor the client's response to seclusion and restraints for any changes or adverse effects. Documenting every 15 minutes allows for timely identification of any issues and prompt intervention if needed.
A: Ensuring restraints prescription renewal every 6 hours is important, but monitoring the client's behavior is more immediate and crucial.
C: Requesting a provider to evaluate the client every 36 hours is too long of an interval for monitoring a client in seclusion and restraints.
D: Monitoring the client every 30 minutes is not as frequent as every 15 minutes, which may delay the identification of any issues.