ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has borderline personality disorder. Which of the following questions should the nurse ask to evaluate the client’s emotional regulation?
Correct Answer: A
Rationale: ‘How do you handle strong emotions?’ directly evaluates emotional regulation, a core challenge in borderline personality disorder (BP
D). It explores coping mechanisms for intense feelings, central to the condition. ‘Do you get along with your family?’ assesses relationships, affected by BPD, but not specific to emotional regulation. ‘Are you happy with your job?’ checks satisfaction, indirectly related to emotions but not how they’re managed. ‘Have you been sleeping well?’ evaluates sleep, a secondary effect, not a direct measure of emotional control.
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following questions should the nurse ask to evaluate the client’s hallucinations?
Correct Answer: A
Rationale: ‘Do you hear voices when no one is around?’ directly evaluates hallucinations, a common positive symptom of schizophrenia. It assesses the presence and nature of auditory hallucinations, key to understanding the client’s experience. ‘Are you feeling sad or down lately?’ checks for depressive symptoms, not specific to hallucinations. ‘Do you enjoy being around other people?’ explores social withdrawal, a negative symptom, but not hallucinations. ‘Have you been able to focus on tasks?’ assesses cognitive function, not the presence of hallucinatory experiences.
Question 3 of 5
A nurse is assessing a client who has obsessive-compulsive disorder. Which of the following questions should the nurse ask to evaluate the client’s compulsions?
Correct Answer: A
Rationale: ‘Do you feel the need to repeat certain actions?’ directly evaluates compulsions, the repetitive behaviors characteristic of obsessive-compulsive disorder (OC
D), assessing their presence and impact. ‘Are you worried about germs all the time?’ explores obsessions (e.g., contamination fears), not the compulsive actions themselves. ‘Do you feel safe in your home?’ assesses general anxiety or security, not specific to compulsions. ‘Have you been feeling tired lately?’ checks fatigue, a possible secondary effect, not the compulsive behaviors directly.
Question 4 of 5
A nurse is planning care for a client who has anorexia nervosa. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Increasing the client’s weight is the priority goal in anorexia nervosa. Severe malnutrition poses immediate physical risks (e.g., cardiac issues), and weight restoration is essential for medical stability and survival. Improving the client’s mood is important but secondary. Mood often improves with nutritional rehabilitation, making weight gain a prerequisite. Enhancing social skills is a long-term goal, not the priority, as physical health must be stabilized first. Reducing anxiety is relevant, especially around eating, but weight gain addresses the root physiological issue and supports broader recovery.
Question 5 of 5
A nurse is planning care for a client who has major depressive disorder. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Ensuring the client’s safety is the priority goal in major depressive disorder (MD
D). The risk of suicide is high, making safety (e.g., monitoring for ideation) the most urgent concern. Increasing appetite is important but secondary. Appetite often improves as depression lifts, and safety takes precedence. Improving concentration is a valid goal, but cognitive deficits are less immediate than the risk of self-harm. Enhancing social interactions is beneficial long-term, but safety must be addressed first due to the acute risk in MDD.