ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder typically display attention-seeking, dramatic, and overly emotional behavior. They often crave validation and may feel uncomfortable when they are not the center of attention. This behavior is characterized by a strong focus on oneself and a tendency to exaggerate emotions for effect.
Choice A, Suspicious of others, is more indicative of paranoid personality disorder.
Choice B, Callousness, is more characteristic of antisocial personality disorder.
Choice D, Violates others' rights, is more aligned with antisocial or narcissistic personality disorders.
Therefore, the most appropriate manifestation for histrionic personality disorder is self-centered behavior.
Question 2 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct Answer: A: Inability to carry out a simple task
Rationale: During a depressive episode in bipolar disorder, individuals often experience cognitive impairments, including difficulty concentrating and completing tasks. This is due to the negative impact of depression on cognitive functioning. Clients may struggle with even simple tasks, leading to feelings of frustration and helplessness.
Incorrect
Choices:
B: Client reports auditory hallucinations - Auditory hallucinations are more commonly associated with schizophrenia or manic episodes in bipolar disorder.
C: Moves quickly from one idea to the next - Rapid cycling between ideas is more indicative of a manic episode in bipolar disorder.
D: Client expresses illusions of grandeur - Grandiosity is a common symptom of manic episodes, not depressive episodes in bipolar disorder.
Summary: The correct answer is A because cognitive impairments, such as the inability to carry out simple tasks, are characteristic of depressive episodes in bipolar disorder.
Choices B, C, and D are incorrect as they are more indicative of other phases of the disorder
Question 3 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D. The nurse should see the client taking clozapine and reporting a sore throat first because clozapine can cause agranulocytosis, a serious side effect characterized by a low white blood cell count, which can lead to life-threatening infections. Monitoring for signs of infection, such as a sore throat, is crucial to prevent complications. This client's situation requires immediate attention to assess the severity of the sore throat and take necessary actions to prevent further complications.
Choice A is incorrect because although mocking behavior can be disruptive, it does not pose an immediate threat to the client's health or safety.
Choice B is incorrect as the client's distress over a change in routine, while important, does not present an immediate risk to their well-being.
Choice C, assisting a client with ADLs, is important but can be prioritized after addressing the urgent health concern of the client taking clozapine.
Question 4 of 5
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Ask the client directly what he is hearing. This action is important because it allows the nurse to gather specific information on the auditory hallucinations the client is experiencing. By directly asking the client, the nurse can better understand the nature and content of the hallucinations, which is crucial for developing an appropriate plan of care. It also demonstrates active listening and shows the client that their experiences are being taken seriously.
Choice A is incorrect because simply lying down in a quiet room does not address the auditory hallucinations.
Choice B is incorrect as referring to the hallucinations as if they are real can validate the delusions and worsen the client's condition.
Choice D is incorrect as avoiding eye contact can be perceived as dismissive or uninterested.
Question 5 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B because increased thoughts of suicide can occur in the initial phase of fluoxetine treatment due to the activation of energy before mood improvement.
Choice A is incorrect as it typically takes weeks for mood improvement to occur.
Choice C is incorrect because tyramine restriction is associated with MAOIs, not SSRIs like fluoxetine.
Choice D is incorrect as lithium monitoring is not relevant to fluoxetine therapy.