ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Seizures. During alcohol withdrawal, the client may experience seizures due to changes in neurotransmitter levels in the brain, specifically decreased GABA and increased glutamate activity. This can lead to overexcitation of the central nervous system, resulting in seizures. Bradycardia (
A) and hypotension (
B) are not typically associated with alcohol withdrawal and may indicate other conditions. Increased appetite (
D) is unlikely as alcohol withdrawal commonly causes loss of appetite.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Feelings of worthlessness. In major depressive disorder, individuals often experience persistent feelings of worthlessness, guilt, or self-blame. This is a key symptom of depression as outlined in the DSM-5 criteria. Increased energy levels (
A) and improved concentration (
C) are not typical findings in major depressive disorder, as individuals commonly report fatigue and difficulty concentrating. Elevated mood (
D) is more characteristic of manic episodes in bipolar disorder rather than major depressive disorder.
Question 3 of 5
A nurse is caring for 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: Excessive worrying. Generalized anxiety disorder is characterized by excessive and uncontrollable worry about various aspects of life. This symptom is a key feature of the disorder and is present most of the time. This constant worrying can cause significant distress and interfere with daily functioning. The other choices are incorrect because individuals with generalized anxiety disorder typically experience poor sleep quality (
A), difficulty concentrating (
C), and feelings of tension or nervousness rather than euphoria (
D). It is important for the nurse to recognize the hallmark symptom of excessive worrying to provide appropriate care and support for the client with generalized anxiety disorder.
Question 4 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Fear of abandonment. Individuals with borderline personality disorder often experience intense fear of abandonment, leading to frantic efforts to avoid real or imagined separations. This is a key characteristic of the disorder, as individuals may engage in impulsive behaviors or exhibit intense emotions in response to perceived abandonment. The other choices are incorrect because individuals with borderline personality disorder typically struggle with unstable self-image (
A), fluctuating mood (
C), and often exhibit irrational thought processes rather than logical ones (
D).
Question 5 of 5
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Delusions. In schizophrenia, delusions are a common symptom characterized by false beliefs that are not based in reality. This can include beliefs of being persecuted, having special powers, or being controlled. Delusions are a key feature of schizophrenia and are not present in other options. A: Organized speech may be seen in some cases but is not specific to schizophrenia. C: Improved social interactions are unlikely as schizophrenia often leads to social withdrawal. D: Stable emotions are not typical in schizophrenia as individuals may experience mood swings.