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 generalized anxiety disorder. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale: The correct answer is D. This statement indicates a lack of understanding about generalized anxiety disorder. Anxiety typically does not go away on its own without proper treatment. Clients with GAD require therapy, medication, or other interventions.
Choices A, B, and C demonstrate good understanding of GAD symptoms and management. A - acknowledges the restlessness associated with anxiety, B - recognizes the link between caffeine and anxiety symptoms, and C - acknowledges the impact of anxiety on sleep.
Question 2 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale: The correct answer is D. Borderline personality disorder is characterized by unstable moods, impulsivity, and difficulty regulating emotions.
Therefore, the statement "My moods are always stable, so I don’t need help" is indicative of a lack of understanding about the nature of the disorder. This client may actually need help in managing their mood swings and emotional instability.
A: Statement A is correct as individuals with borderline personality disorder often experience intense emotions.
B: Statement B is correct as difficulties in relationships are common in individuals with borderline personality disorder.
C: Statement C is correct as establishing routines can help individuals with borderline personality disorder feel more stable.
In summary, the incorrect choices fail to address the core characteristics of borderline personality disorder, while the correct answer highlights a misconception that could hinder the client's treatment and understanding of their condition.
Question 3 of 5
A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale: The correct answer is D: "I don’t need to see my doctor since I feel fine now." This statement indicates a need for further education because it shows a lack of understanding about the importance of ongoing medical care and monitoring for schizophrenia. Schizophrenia is a chronic condition that requires consistent management and follow-up with healthcare providers, even if the individual feels better at times. This statement reflects a potential misunderstanding that symptoms can reoccur or worsen without proper medical oversight.
Choices A, B, and C are incorrect because they demonstrate insight into the symptoms and treatment of schizophrenia, highlighting the client's awareness and understanding of their condition.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: Statement D indicates a lack of insight into the severity of the condition by considering obsessive behaviors as normal habits. This suggests a need for further education to help the client understand the difference between normal habits and compulsions in OCD.
Summary:
A: Correct - Describes the intrusive nature of obsessive thoughts in OCD.
B: Correct - Describes the compulsion to repeat actions for relief in OCD.
C: Correct - Acknowledges the time-consuming nature of OCD rituals.
D: Correct - Indicates a lack of awareness about the abnormality of OCD behaviors.
E: Incorrect - No statement provided.
F: Incorrect - No statement provided.
G: Incorrect - No statement provided.
Question 5 of 5
A nurse is assessing a client who has a history of substance abuse. The client states, 'I don’t need help; I can stop anytime I want.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "You seem confident, but let’s talk about why you’re here today." This response acknowledges the client's confidence but also expresses a willingness to discuss the underlying reasons for seeking help. It shows empathy and encourages further communication.
Choice B is incorrect because it assumes the client doesn't need treatment based solely on their statement, which may not be accurate.
Choice C may come off as confrontational and could potentially create resistance in the client.
Choice D is dismissive and does not promote a therapeutic relationship. The correct response, choice A, focuses on building rapport and understanding the client's perspective before exploring treatment options.