ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Confabulation. Confabulation is the unintentional fabrication of false memories or stories to fill in gaps in memory. In this scenario, the client with dementia is creating a false memory of taking care of all residents by herself, which is a common feature of confabulation in dementia. This behavior is not intentional but rather a result of memory deficits.
A: Projection is attributing one's own thoughts or feelings to someone else.
B: Perseveration is the repetition of a particular response despite the absence or cessation of a stimulus.
C: Agnosia is the inability to recognize or interpret sensory information.
Therefore, the correct choice is D as it best fits the scenario provided.
Question 2 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 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 nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D because the client taking clozapine reporting a sore throat could indicate a potentially serious side effect called agranulocytosis, which requires immediate medical attention to prevent complications. Agranulocytosis is a rare but life-threatening condition that can lead to severe infections due to a drastic decrease in white blood cells.
Therefore, the nurse should prioritize assessing this client to ensure prompt intervention if necessary.
Choice A is incorrect because mocking behavior, although inappropriate, does not pose an immediate physical threat to the client or others.
Choice B is incorrect as the upset about a change in routine can be addressed after addressing urgent medical concerns.
Choice C is incorrect since assistance with ADLs can be provided once the client with the sore throat is assessed and treated.
Question 5 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. During adolescence, individuals explore and develop their sense of self and try to establish a coherent identity. This stage aligns with Erikson's theory of psychosocial development. Option A (Generativity vs self-absorption) is more relevant to middle adulthood. Option B (Trust vs mistrust) pertains to infancy. Option C (Intimacy vs isolation) relates to young adulthood.
Therefore, the correct stage for an adolescent client would be D, as they are likely navigating issues related to their identity and role in society.