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 findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Fear of abandonment. Individuals with borderline personality disorder often experience intense fear of abandonment, leading to frantic efforts to avoid real or imagined separations. This is a key characteristic of the disorder, as individuals may engage in impulsive behaviors or exhibit intense emotions in response to perceived abandonment. The other choices are incorrect because individuals with borderline personality disorder typically struggle with unstable self-image (
A), fluctuating mood (
C), and often exhibit irrational thought processes rather than logical ones (
D).
Question 2 of 5
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Delusions. In schizophrenia, delusions are a common symptom characterized by false beliefs that are not based in reality. This can include beliefs of being persecuted, having special powers, or being controlled. Delusions are a key feature of schizophrenia and are not present in other options. A: Organized speech may be seen in some cases but is not specific to schizophrenia. C: Improved social interactions are unlikely as schizophrenia often leads to social withdrawal. D: Stable emotions are not typical in schizophrenia as individuals may experience mood swings.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Intrusive thoughts. In obsessive-compulsive disorder (OC
D), individuals experience intrusive thoughts, urges, or images that cause anxiety or distress. These thoughts lead to repetitive behaviors or mental acts to reduce the anxiety. Other choices are incorrect because individuals with OCD typically do not exhibit a calm demeanor due to the distress caused by their obsessions and compulsions. Decision-making may be impaired due to the overwhelming nature of obsessive thoughts. There is an increased, not decreased, need for rituals to alleviate anxiety and distress.
Question 4 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following nursing interventions should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Monitor the client’s weight daily. This is important in managing anorexia nervosa as it helps track changes in the client's nutritional status and overall health. Daily weight monitoring allows for early detection of weight loss or gain, which can indicate the effectiveness of treatment and the need for intervention adjustments. Encouraging the client to eat quickly (
A) may lead to discomfort or anxiety, worsening the eating disorder. Offering large meals (
C) can be overwhelming and may trigger negative behaviors. Restricting physical activity (
D) can also be harmful as exercise is important for overall health.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following nursing interventions should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Monitor the client’s sleep patterns. Monitoring sleep patterns is crucial in major depressive disorder as disruptions in sleep are common. By monitoring the client’s sleep patterns, the nurse can assess for insomnia or hypersomnia, which are symptoms of depression. This intervention helps in identifying the severity of the client’s condition and guides treatment planning. Encouraging social isolation (
A) is harmful as social support is important for individuals with depression. Offering high-sugar snacks (
C) can have negative effects on mood and overall health. Instructing the client to avoid exercise (
D) is not recommended as exercise is beneficial in managing depressive symptoms.