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 anorexia nervosa. Which of the following statements by the client indicates progress in treatment?
Correct Answer: B
Rationale:
Correct
Answer: B. "I ate a full meal today without feeling guilty."
Rationale: This statement indicates progress as the client is able to consume a full meal without experiencing guilt, showing improved relationship with food and reduced anxiety around eating. This is a positive step towards recovery in anorexia nervosa treatment.
Incorrect
Choices:
A: "I’m still too fat, but I’ll eat a little more." - This statement reflects continued negative body image and may indicate ongoing disordered eating behaviors.
C: "I skipped breakfast, but I’ll make up for it later." - Skipping meals and planning to compensate for it later is indicative of unhealthy behaviors associated with anorexia nervosa.
D: "I exercised for an hour to burn off dinner." - Excessive exercise as a means to compensate for eating is a red flag for disordered eating habits.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following statements by the client indicates improvement?
Correct Answer: A
Rationale: The correct answer is A because it indicates some level of motivation and ability to engage in activities of daily living, which is a positive sign of improvement in major depressive disorder. Getting out of bed shows initiative and a small sense of accomplishment.
Choices B, C, and D all reflect negative or stagnant thoughts and behaviors commonly associated with major depressive disorder, such as hopelessness, fatigue, and social withdrawal, indicating no improvement.
Question 3 of 5
A nurse is caring for a client who has generalized anxiety disorder. Which of the following statements by the client indicates effective coping?
Correct Answer: A
Rationale: The correct answer is A because taking a deep breath is a common relaxation technique that can help reduce anxiety symptoms. Deep breathing helps activate the body's relaxation response, promoting a sense of calmness. This coping strategy is effective in managing anxiety as it focuses on self-soothing and grounding techniques. In contrast, choices B, C, and D are ineffective coping mechanisms.
Choice B indicates maladaptive behavior of staying up all night worrying, which can worsen anxiety.
Choice C suggests using caffeine, which can exacerbate anxiety symptoms.
Choice D involves aggressive behavior, which is not a healthy way to cope with anxiety. Overall, choice A is the best option as it promotes relaxation and emotional regulation.
Question 4 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following statements by the client indicates a therapeutic response to treatment?
Correct Answer: A
Rationale: The correct answer is A: "I stopped arguing with my partner today." This response indicates progress in managing interpersonal conflicts, a common challenge for individuals with borderline personality disorder. By avoiding arguments, the client is demonstrating improved emotional regulation and communication skills.
Choices B and C reflect impulsivity and aggression, which are typical symptoms of the disorder.
Choice D suggests emotional detachment, which can be a defense mechanism rather than genuine progress in treatment.
Question 5 of 5
A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates a positive response to medication?
Correct Answer: A
Rationale: The correct answer is A. If the client states, "The voices are quieter now," it indicates a positive response to medication as it suggests an improvement in symptoms.
Choice B indicates continued presence of harmful auditory hallucinations.
Choice C suggests non-compliance, a negative response to medication.
Choice D indicates worsening of symptoms which is a negative response.
Therefore, A is the correct answer as it aligns with the goal of medication in managing schizophrenia symptoms.