ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse has a duty to warn when a client expresses a clear intent to harm another person, overriding confidentiality in this situation to ensure safety. Reporting to local authorities is appropriate to prevent potential harm. Avoiding reporting due to confidentiality is incorrect, as the duty to protect others supersedes confidentiality when there is a credible threat. Telling risk management is a step but does not directly address the immediate need to protect the partner. Notifying the provider to extend the stay may help with treatment but does not immediately address the safety risk to the partner upon discharge.
Question 2 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Provide written information about the client's treatment plan. This is important for a client with paranoid personality disorder as it helps establish trust through transparency and consistency. Providing written information ensures clarity and minimizes misunderstandings that may trigger paranoia.
Choice B is incorrect as encouraging countertransference can jeopardize the therapeutic relationship.
Choice C is incorrect as splitting behaviors are not typically associated with paranoid personality disorder.
Choice D is incorrect as isolating the client can exacerbate feelings of suspicion and mistrust.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: C
Rationale: The correct answer is C: Reports a lack of sleep. In acute mania, individuals often experience decreased need for sleep or insomnia. This symptom is a hallmark of manic episodes in bipolar disorder. Lack of sleep can exacerbate manic symptoms and lead to increased impulsivity and risk-taking behaviors. Writing a detailed daily activity schedule (
A) is more indicative of organized behavior, not necessarily mania. Isolating oneself from others (
B) can be a sign of depression or social withdrawal, not mania. Refusing to engage in conversation (
D) may indicate other issues such as anxiety or communication difficulties.
Question 4 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: D
Rationale: Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase. Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase. Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase. During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.
Question 5 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: B
Rationale: While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care. Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others. Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons. Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.