ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing the sleep pattern of a client who has an anxiety disorder. The client reports having difficulty sleeping most nights. Which of the following recommendations should the nurse make?
Correct Answer: B
Rationale: Exercise 3 hours before bed reduces anxiety and improves sleep. TV stimulates, late meals cause discomfort, and long naps disrupt nighttime rest.
Question 2 of 5
A nurse is providing teaching to the partner of a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following pieces of information should the nurse include?
Correct Answer: A
Rationale: Donepezil before bedtime reduces nausea and aligns with rest, minimizing side effects. Alzheimer’s worsens, it doesn’t stop progression, and falls risk may increase, not decrease.
Question 3 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 4 of 5
A nurse is caring for a client who is receiving end-of-life care. The client states, 'The nurses here don’t do a good job caring for me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking for more detail shows empathy and gathers info to improve care. Family talk avoids the issue, grieving labels dismissively, and reassurance doesn’t address concerns.
Question 5 of 5
A nurse is providing teaching for a client who has an alcohol use disorder. Which of the following statements should the nurse make to help prevent relapse?
Correct Answer: A
Rationale: Listing negative effects reinforces motivation to stay sober by highlighting consequences. 'As needed' lacks structure, lorazepam risks dependence, and familiar places may trigger cravings.