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 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 2 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 3 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.
Question 4 of 5
A nurse is planning care for a client who has generalized anxiety disorder. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Reducing the client’s anxiety levels is the priority goal in generalized anxiety disorder (GA
D). Anxiety is the core symptom, and lowering it improves overall functioning and quality of life. Improving sleep quality is important, as anxiety disrupts sleep, but reducing anxiety itself addresses the root cause. Enhancing decision-making is secondary; anxiety impairs focus, but alleviating it first enables better cognition. Increasing energy levels is not the primary focus, as fatigue often stems from anxiety, making its reduction the key goal.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Stabilizing the client’s mood is the priority goal in borderline personality disorder (BP
D). Emotional dysregulation drives many symptoms (e.g., impulsivity, relationship issues), and mood stability is foundational to progress. Increasing appetite is not a primary concern unless related to a co-occurring condition; mood takes precedence. Improving concentration is secondary, as emotional instability often underlies cognitive issues in BPD. Enhancing self-esteem is important long-term, but stabilizing mood addresses the acute volatility first.