ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: Rationalization justifies blackouts with a logical but false reason (low blood sugar) rather than the psychological cause. Suppression, sublimation, and projection don’t fit.
Question 2 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: C
Rationale: Schema-focused therapy targets NPD’s deep-seated patterns like grandiosity. Assertiveness doesn’t address core issues, response prevention is for OCD, and CBT is less specific than schema therapy.
Question 3 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: Constant talking (pressured speech) reflects mania’s increased energy. Memory loss isn’t specific to mania, excessive sleep indicates depression, and inferiority aligns with depressive episodes, not mania.
Question 4 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy (ECT). Which of the following findings indicates the treatment is effective?
Correct Answer: D
Rationale: ECT is most effective for severe depression, improving symptoms like mood and sleep. It’s not standard for BPD, phobias, or seizure reduction (it induces seizures).
Question 5 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Failure to recognize objects (agnosia) is common in Alzheimer’s due to brain deterioration. Altered consciousness, excessive activity, and rapid mood swings are less typical.