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 bipolar disorder and is experiencing a manic episode. Which of the following statements by the client indicates a need for immediate intervention?
Correct Answer: C
Rationale: The correct answer is C: "I haven’t slept in three days, and I’m fine." This statement indicates a lack of sleep, which can exacerbate manic symptoms and lead to potential harm. Sleep deprivation can worsen manic episodes, causing increased impulsivity and risky behaviors. It is crucial to intervene immediately to prevent any negative consequences.
Choices A, B, and D all reflect typical behaviors exhibited during a manic episode but do not pose an immediate risk to the client's well-being.
Question 2 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 3 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 4 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 5 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.