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 borderline personality disorder. Which of the following nursing interventions should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Maintain consistent boundaries with the client. This is important in managing clients with borderline personality disorder as it helps establish a sense of safety and predictability. Allowing the client to set their own boundaries (choice
A) can lead to inconsistency and confusion. Encouraging impulsivity (choice
C) can exacerbate the client's symptoms. Avoiding discussing emotions (choice
D) can hinder therapeutic progress. Maintaining consistent boundaries helps create a structured environment that promotes trust and stability for the client.
Question 2 of 5
A nurse is caring for a client who has schizophrenia. Which of the following nursing interventions should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Ask the client about hallucination content. This intervention allows the nurse to assess the client’s current mental state, gather information about the hallucinations, and establish a therapeutic relationship based on trust and understanding. By understanding the content of the hallucinations, the nurse can tailor the care plan to address the specific needs of the client. Challenging the client’s delusions (
A) can lead to increased distress and resistance. Encouraging denial of hallucinations (
C) can worsen the client's condition and inhibit trust. Instructing the client to focus on reality at all times (
D) may not be feasible or helpful in managing symptoms of schizophrenia.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following nursing interventions should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Gradually limit the time for compulsive behaviors. This approach is based on cognitive-behavioral therapy principles for OCD, aiming to reduce rituals systematically. Allowing unlimited time (
A) can reinforce compulsions. Encouraging avoidance (
B) can heighten anxiety. Instructing immediate cessation (
D) can be overwhelming. Gradual limitation (
C) helps the client gain control over compulsions without causing distress.
Question 4 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Decreased hemoglobin. In anorexia nervosa, severe malnutrition can lead to a decrease in hemoglobin levels due to inadequate intake of essential nutrients like iron and vitamins. This can result in anemia. Elevated potassium levels (choice
A) are not typically seen in anorexia nervosa, as potassium levels tend to be low due to malnutrition. Increased blood glucose (choice
C) is not a common finding in anorexia nervosa unless there are complications like refeeding syndrome. Elevated liver enzymes (choice
D) may indicate liver damage but are not a typical finding in anorexia nervosa unless there are underlying conditions.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Normal thyroid function. In major depressive disorder, thyroid function typically remains within normal range. This is because depression does not directly affect thyroid hormone production or levels. Decreased cortisol levels (
A) are more commonly associated with conditions like Addison's disease or adrenal insufficiency. Elevated sodium levels (
C) are seen in conditions like dehydration or hypernatremia, not typically in major depressive disorder. Increased white blood cell count (
D) is more indicative of infections or inflammatory conditions, not depression.