ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This acknowledges the partner’s feelings empathetically, opening dialogue. Sharing personal experience shifts focus, counseling is premature, and denying guilt invalidates emotions.
Question 3 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: These symptoms suggest lithium toxicity, requiring blood tests to check levels. Reassurance without action, sodium reduction, or continuing without checking are unsafe.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Preoccupation with details is a hallmark of OCPD. Individuals with this disorder have an excessive concern with orderliness, perfectionism, and control over their environment and tasks. Lack of empathy, exploitative behavior, and excessive clinging are not typical OCPD traits. (Note: This is a repeat of Question 2 with an unrelated explanation about ACT, likely a document error; correct rationale applied.)
Question 5 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.