ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Vital Signs
Blood pressure: 112/68 mm Hg
Temperature: 37° C (98.6° F)
Heart rate: 64/min
Respiratory rate: 12/min
Oxygen saturation: 98% on room air
Medical History
A 19-year-old female client presents to the clinic accompanied by her parents. The parents indicate they "have to do something or she is going to end up in jail - we cannot believe a thing she tells us.” The client is disinterested, standing with arms crossed, and not answering questions when addressed. Her parents indicate she “can be very nice to be around, but when denied something she wants, she becomes aggressive and abusive.” Parents report impulsivity and that the client does not show remorse for her actions. According to her parents, “she is reckless and irresponsible.” The parents indicate this type of behavior started around age 13 and has recently become more frequent. The client states, “I can do what I want. Nobody is going to tell me what to do.”
Question 1 of 5
A nurse is caring for a client. Exhibits:Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.
Correct Answer: B, A&E, C&E
Rationale: Antisocial personality (
B) fits impulsivity/aggression. Assess criminal history (
A) and set boundaries (E), monitor aggression (
C) and deceit (E).
Extract:
Question 2 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Advocating for an alternative respects boundaries. Reassurance dismisses, gloves don’t help, probing is intrusive.
Question 3 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: B
Rationale: Schema-focused therapy targets NPD’s deep patterns. Assertiveness doesn’t address core, response prevention is for OCD, CBT is less specific.
Question 4 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: A
Rationale: The Geriatric Depression Scale screens for depression, common in older adults, enhancing well-being. PAINAD is for dementia, CAGE for alcohol abuse, and Denver II for children, not broadly applicable here.
Question 5 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: Chlordiazepoxide manages withdrawal symptoms like seizures. Disulfiram deters drinking, Bupropion is for depression/smoking, Buprenorphine for opioids.