ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience cognitive decline, including memory loss and difficulty recognizing familiar objects or people. This is due to the progressive deterioration of brain cells involved in memory and cognition. Altered level of consciousness (
A) is not typically a prominent feature of Alzheimer's disease, as individuals are usually awake and alert. Excessive motor activity (
B) is more commonly seen in conditions like mania or hyperactivity disorders, not specifically in Alzheimer's disease. Rapid mood swings (
D) may occur in some individuals with Alzheimer's, but failure to recognize familiar objects is a more characteristic feature.
Question 2 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Give the client a choice of solitary activities. Individuals with schizoid personality disorder typically prefer solitary activities and may feel uncomfortable in social situations. Providing the client with a choice of solitary activities respects their preferences and promotes their comfort and autonomy.
Explanation for incorrect options:
A: Identifying splitting behaviors is more relevant for borderline personality disorder, not schizoid personality disorder.
B: While anger management may be helpful for some clients, it is not a primary intervention for schizoid personality disorder.
D: Setting limits on the client's need for social contact goes against the nature of schizoid personality disorder, which is characterized by a preference for solitude.
Question 3 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "We are concerned about you and need to keep you safe." This response demonstrates empathy, acknowledges the client's feelings, and prioritizes safety. It conveys the nurse's duty to ensure the client's well-being and addresses the client's demand for privacy without compromising safety.
A: Offering a contract may not be effective in preventing harm, as suicidal ideation is a serious issue that requires continuous monitoring.
B: While medication levels are important, constant observation is necessary in this situation to prevent any potential harm.
C: Submitting the request to the provider may delay necessary intervention and compromise the client's safety.
E, F, G: No information provided.
Question 4 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: B
Rationale: The correct answer is B. Implementing measures to prevent intentional self-inflicted injury is the priority for a client with borderline personality disorder as it addresses the immediate safety concern. Self-harm is common in this population, so ensuring the client's safety is paramount. Encouraging the client to attend support group meetings (
Choice
A) may be beneficial but does not address the immediate safety issue. Assisting the client to maintain awareness of thoughts and feelings (
Choice
C) and discussing assertive behavior (
Choice
D) are important but addressing safety comes first.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: B
Rationale: The correct answer is B: Autonomy. Autonomy refers to the principle of respecting an individual's right to make their own decisions regarding their healthcare. By supporting the client's refusal of medications, the nurse is upholding the client's autonomy and right to make choices about their own treatment. Veracity (
A) relates to truthfulness, not applicable here. Beneficence (
C) involves acting in the best interest of the client, which may conflict with autonomy in this case. Justice (
D) pertains to fairness and equal treatment, not relevant to the client's refusal of medications.