ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse should recognize that these findings are associated with which of the following personality disorders?
Correct Answer: C
Rationale: The correct answer is C: Borderline personality disorder. The client's behaviors of excessive compliance, passivity, and self-denial are characteristic of individuals with borderline personality disorder. People with borderline personality disorder often struggle with a fear of abandonment, unstable self-image, and intense emotions, leading to behaviors such as self-denial and compliance to avoid rejection.
Choice A (Dependent) is incorrect because dependent personality disorder is characterized by a pervasive need to be taken care of, rather than self-denial and excessive compliance.
Choice B (Paranoid) is incorrect as paranoid personality disorder involves distrust and suspicion of others, not self-denial and passivity.
Choice D (Histrionic) is incorrect because histrionic personality disorder is characterized by attention-seeking behavior and emotional dramatics, which do not align with the client's presentation of excessive compliance and self-denial.
Question 2 of 5
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Set a weight gain goal of 2.2kg (5lbs) per week. This intervention is important in the care plan for a client with anorexia nervosa to promote gradual and sustainable weight restoration. Rapid weight gain can lead to medical complications like refeeding syndrome. Weighing the client twice per day (
A) can increase anxiety and reinforce unhealthy behaviors. Electroconvulsive therapy (
B) is not a standard treatment for anorexia nervosa. Encouraging family therapy (
D) is beneficial for addressing underlying issues but is not a direct intervention for weight restoration.
Question 3 of 5
A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: High fever. This is the priority finding because it may indicate a potentially life-threatening condition called neuroleptic malignant syndrome (NMS), a rare but serious side effect of haloperidol. NMS is characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction. Prompt recognition and treatment are crucial to prevent complications.
B: Insomnia is a common side effect of haloperidol but is not an immediate concern compared to a high fever indicating NMS.
C: Urinary hesitancy is not directly related to haloperidol use and does not pose an immediate threat.
D: Headache is a common side effect of haloperidol but is less urgent compared to a high fever suggesting NMS.
Question 4 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and tension. The individual may find it difficult to relax or sit still. Increased energy (choice
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued. Euphoric mood (choice
C) is not likely, as anxiety tends to cause distress. Depersonalization (choice
D) is more commonly associated with dissociative disorders, not generalized anxiety disorder.
Question 5 of 5
A nurse is providing teaching for a school-age child and his parents regarding a new prescription for risperidone. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will make sure my son takes the last dose of the day by 4 PM." This statement indicates an understanding of the teaching because risperidone is typically recommended to be taken in the evening due to its sedative effects, which can help minimize daytime drowsiness. Administering the last dose by 4 PM ensures that the sedative effects are most effective during nighttime hours, promoting better sleep and reducing daytime sedation.
The other choices are incorrect because:
A: Low sodium diet is not directly related to risperidone use.
C: Hand tremors are not a common side effect of risperidone.
D: Excessive urination is not a common side effect of risperidone and would not be a reason to contact the doctor in this case.