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 details or events to fill in memory gaps, often seen in clients with dementia. In this scenario, the client is creating false memories of taking care of other residents, which is characteristic of confabulation.
A: Projection involves attributing one's thoughts or feelings to others, not relevant here.
B: Perseveration is the repetition of a particular response, also not applicable.
C: Agnosia is the inability to recognize familiar objects or people, not demonstrated in this case.
In summary, the client's statement aligns with confabulation as it involves unintentional fabrication of memories, making it the correct choice among the options provided.
Question 2 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. During mania, individuals with bipolar disorder often have increased energy levels, decreased need for sleep, and may engage in risky behaviors. Encouraging rest periods helps to manage the client's energy levels and reduce the risk of exhaustion or impulsivity. Seclusion (
A) may exacerbate anxiety, spending time in the dayroom (
B) may increase stimulation, and withdrawing TV privileges (
C) may not address the core issue. Thus, option D is the most appropriate intervention for managing mania symptoms.
Question 3 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interact with buspirone and increase its concentration in the body, leading to potential side effects or toxicity. It shows the client understands the importance of avoiding certain foods while on this medication to ensure its effectiveness and safety.
Option A is incorrect because buspirone is typically taken regularly, not as needed. Option B is incorrect because sedation and drowsiness are not common side effects of buspirone. Option D is incorrect as buspirone is not associated with a risk for dependence.
Question 4 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 prevent withdrawal symptoms in clients with opioid use disorder by providing a similar but less intense effect, allowing for a gradual tapering off. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for reversing opioid overdose, not preventing withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for opioid withdrawal.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express feelings of anger. This intervention focuses on addressing the underlying emotions that may lead to self-mutilation in clients with borderline personality disorder. By encouraging the client to express their feelings of anger, the nurse can help them develop healthier coping mechanisms and reduce the urge to self-harm. Restricting access to personal belongings (
A) may lead to feelings of frustration and exacerbate the behavior. Placing the client in seclusion (
C) can be traumatic and may not address the root cause of the behavior. Telling the client to stop self-mutilation (
D) is dismissive and oversimplifies the complexity of the disorder.