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: The correct answer is D: Rationalization. The client is attributing their blackouts to a seemingly logical and acceptable cause (low blood sugar) rather than acknowledging the true underlying issue of dissociative identity disorder. Rationalization involves creating logical explanations or justifications for behaviors, thoughts, or feelings that are otherwise unacceptable. In this case, the client is using rationalization to avoid facing the uncomfortable reality of their dissociative symptoms.
Incorrect choices:
A: Suppression involves consciously avoiding or pushing away thoughts or feelings. This does not apply to the client's situation.
B: Sublimation involves channeling unacceptable impulses into more socially acceptable behaviors. This is not demonstrated in the client's statement.
C: Projection involves attributing one's own thoughts or feelings to others. This is not evident in the client's statement.
Therefore, rationalization is the most appropriate defense mechanism being used by the client in this scenario.
Question 2 of 5
A nurse is caring for a client who has dementia and is experiencing anticipatory grief. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express their feelings. This is important because it allows the client to process their emotions, reduce feelings of isolation, and promote a sense of validation. By expressing their feelings, the client can better cope with anticipatory grief associated with dementia. Providing a timeline (choice
A) might not be helpful as grief is a unique process for each individual. Showing sympathy (choice
C) is important, but encouraging the client to express their feelings is more directly beneficial. Sharing personal stories (choice
D) can shift the focus away from the client's needs. The other choices are not relevant to addressing the client's emotional needs in this situation.
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: The correct answer is A. A client with mania often exhibits rapid and excessive talking, a common symptom of mania. This behavior is known as pressured speech. Option B, memory loss, is not typically associated with mania but may occur in certain situations. Option C, sleeping over 10 hours a day, is more indicative of depression rather than mania. Option D, expressing feelings of inferiority, is more aligned with symptoms of depression, not mania.
Question 4 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale: The correct answer is C: The client will attend to personal hygiene. This outcome is important in the treatment of borderline personality disorder as it can improve the client's self-esteem and overall well-being. Personal hygiene is a fundamental aspect of self-care and can help the client feel more in control and confident. It also promotes a sense of normalcy and routine, which can be beneficial in managing symptoms of the disorder.
The other choices are incorrect because:
A: Verbalizing an improved mood may not directly address the core issues of borderline personality disorder.
B: Decrease in hallucinations is more commonly associated with psychotic disorders, not borderline personality disorder.
D: Communicating needs is important, but attending to personal hygiene is more fundamental for daily functioning.
E, F, G: Not provided in the question.
Question 5 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Varenicline. Varenicline is a medication used to help individuals quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It works by targeting the nicotine receptors in the brain, making smoking less satisfying. Naltrexone (
A) is used for alcohol dependence, not smoking cessation. Disulfiram (
B) is used for alcohol aversion therapy, not smoking cessation. Donepezil (
D) is used for Alzheimer's disease, not smoking cessation.
Therefore, the nurse should expect the provider to prescribe varenicline to help the client quit smoking successfully.