ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale: The correct answer is C: The client will attend to personal hygiene. This outcome is important in the treatment of borderline personality disorder as it can improve the client's self-esteem and overall well-being. Personal hygiene is a fundamental aspect of self-care and can help the client feel more in control and confident. It also promotes a sense of normalcy and routine, which can be beneficial in managing symptoms of the disorder.
The other choices are incorrect because:
A: Verbalizing an improved mood may not directly address the core issues of borderline personality disorder.
B: Decrease in hallucinations is more commonly associated with psychotic disorders, not borderline personality disorder.
D: Communicating needs is important, but attending to personal hygiene is more fundamental for daily functioning.
E, F, G: Not provided in the question.
Question 2 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate fall precautions for the client. Lorazepam is a benzodiazepine that can cause drowsiness, dizziness, and impaired coordination, increasing the risk of falls. Fall precautions, such as ensuring a safe environment, bed alarms, and assistance with ambulation, are essential to prevent injury. Instructing the client about ringing in the ears (choice
A) is not relevant to lorazepam administration. Placing the client in restraints (choice
B) is not necessary and can be considered a violation of the client's rights. Repeating the dose in 15 minutes (choice
D) is not recommended as it can lead to overdose.
Question 3 of 5
A nurse is caring for a client who is being treated for posttraumatic stress disorder (PTSD). The client states, 'I’m not able to fall asleep easily or stay asleep.' Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Try meditation before you go to bed at night. Meditation is a relaxation technique that can help reduce stress and calm the mind, making it easier to fall asleep. By engaging in meditation before bedtime, the client can promote a sense of relaxation and improve sleep quality.
Choice A: Catching up on lost sleep by napping during the daytime can disrupt the client's sleep cycle and make it harder to fall asleep at night.
Choice B: Avoiding reading in the evenings prior to bedtime may be a helpful suggestion, but it does not directly address the client's difficulty falling and staying asleep.
Choice C: Dimming the screen on the cellphone can reduce exposure to blue light, which can interfere with sleep, but it may not be as effective as meditation in promoting relaxation.
In summary, meditation is the best recommendation as it directly targets the client's sleep difficulties by promoting relaxation and reducing stress.
Question 4 of 5
A nurse is providing teaching for a client who has an alcohol use disorder. Which of the following statements should the nurse make to help prevent relapse?
Correct Answer: A
Rationale: The correct answer is A: "List the negative effects of alcohol use in your life." This statement is effective in preventing relapse as it helps the client identify the consequences of their alcohol use, increasing their motivation to change. It promotes self-reflection and awareness of the harmful impact of alcohol on their life.
Choice B is incorrect because attending support group meetings may be helpful but does not directly address the client's personal consequences of alcohol use.
Choice C is incorrect as prescribing lorazepam is not a recommended method for preventing relapse in alcohol use disorder.
Choice D is incorrect as revisiting familiar places associated with drinking can trigger cravings and increase the risk of relapse.
Question 5 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose 256 mg/dL (74 to 106 mg/dL). This finding is concerning because risperidone, an antipsychotic medication, can cause metabolic side effects such as hyperglycemia. High blood glucose levels can lead to serious complications like diabetic ketoacidosis. The nurse should notify the provider for further evaluation and management.
The other choices (B, C,
D) fall within the normal reference ranges and do not indicate any immediate concerns related to the client's condition or medication.
Therefore, they do not require immediate notification to the provider.