ATI RN
ATI RN Mental Health 2023 Exam 2 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:
Rationale:
Choice C is correct because improving communication of needs is a key therapeutic goal for clients with borderline personality disorder. Effective communication can help reduce impulsive behaviors and enhance interpersonal relationships. Verbalizing improved mood (
A) may not address the underlying emotional dysregulation. Attending to personal hygiene (
B) is important but may not directly address the core issues of the disorder. Reporting a decrease in hallucinations (
D) is more relevant to psychotic disorders. Other choices are not provided, but focusing on communication skills is crucial for managing this disorder effectively.
Question 2 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: The correct answer is A: The client is constantly talking. In bipolar disorder, during the manic phase, individuals often exhibit rapid speech, impulsivity, and excessive talking. This behavior is a hallmark of mania. The other choices are incorrect because expressing feelings of inferiority (
B) is more indicative of depression, memory loss (
C) could be a symptom of various conditions but not specific to mania, and sleeping over 10 hours a day (
D) is more characteristic of depression or sedation from medication.
Extract:
Vital Signs
0200:
•
o Temperature: 38.6° C (101.5° F)
o Heart rate: 104/min
o Respiratory rate: 18/min
o Blood pressure: 158/96 mm Hg
o Oxygen saturation: 98% on room air
0415:
•
o Temperature: 38.6° C (101.5° F)
o Heart rate: 108/min
o Respiratory rate: 20/min
o Blood pressure: 148/94 mm Hg
o Oxygen saturation: 98% on room air
Nurses’ Notes
0205:
The client was brought to the ED by police after being found wandering on the street. The client was able to provide their identity to the police, but was not able to identify the place or time. The family was notified. The client appeared confused and agitated. Their appearance was disheveled. Their mucous membranes were dry. Their lungs were clear and equal, and their heart rhythm was regular. During the assessment, the client stated, “Can you ask that person to leave my room?” The client was pointing to an empty chair.
0230:
The client’s adult child arrived at the ED and went to the client’s room. The client identified the family member. The client was pacing and agitated, and stated, “I don’t understand why I am here.” The adult child asked the nurse to talk outside of the room and stated, “I don’t know why they are so confused. They are not normally like this.” The adult child stated that the client has a past medical history of hypertension and alcohol-related cirrhosis. Upon returning to their room, the client voided 250 mL of dark yellow, cloudy urine.
0415:
The client was admitted to the medical-surgical unit. A peripheral IV was initiated in the right arm. The client was agitated, trying to pull out the IV, and yelling, “I am leaving now!”
Provider’s Note
0230: Client diagnosis: Delirium secondary to a urinary tract infection and dehydration.
0400: The client will be transferred to the medical-surgical unit.
Laboratory Results
0230: Serum toxicology screen: Alcohol 60 mg/dL (80 to 200 mg/dL indicates mild to moderate intoxication)
Question 3 of 5
The nurse reviewed the nurses’ notes, provider’s note, and vital signs at 0415.Exhibits:Which of the following interventions should the nurse include in the client’s care? Select the three interventions the nurse should implement.
Correct Answer: B,D,E
Rationale: The correct answer is B, D, and E. Reorienting the client helps maintain their cognitive function. Approaching slowly minimizes agitation and builds trust. Maintaining a low-stimulation environment supports the client's well-being. A is incorrect as family support can be beneficial. C is unnecessary unless there are specific reasons.
Extract:
Question 4 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it targets the underlying maladaptive schemas and core beliefs that contribute to the disorder. By addressing these deep-seated patterns, individuals can develop healthier ways of thinking and behaving. Assertiveness training (
A) may not be as effective for addressing the core issues of narcissistic personality disorder. Response prevention therapy (
C) is typically used for anxiety disorders, not personality disorders. Cognitive behavioral therapy (
D) can be helpful but may not specifically target the underlying schemas in the same way as schema-focused therapy.
Question 5 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.