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 major depressive disorder. Which of the following statements by the client indicates improvement?
Correct Answer: A
Rationale: The correct answer is A because it indicates some level of motivation and ability to engage in activities of daily living, which is a positive sign of improvement in major depressive disorder. Getting out of bed shows initiative and a small sense of accomplishment.
Choices B, C, and D all reflect negative or stagnant thoughts and behaviors commonly associated with major depressive disorder, such as hopelessness, fatigue, and social withdrawal, indicating no improvement.
Question 2 of 5
A nurse is caring for a client who has generalized anxiety disorder. Which of the following statements by the client indicates effective coping?
Correct Answer: A
Rationale: The correct answer is A because taking a deep breath is a common relaxation technique that can help reduce anxiety symptoms. Deep breathing helps activate the body's relaxation response, promoting a sense of calmness. This coping strategy is effective in managing anxiety as it focuses on self-soothing and grounding techniques. In contrast, choices B, C, and D are ineffective coping mechanisms.
Choice B indicates maladaptive behavior of staying up all night worrying, which can worsen anxiety.
Choice C suggests using caffeine, which can exacerbate anxiety symptoms.
Choice D involves aggressive behavior, which is not a healthy way to cope with anxiety. Overall, choice A is the best option as it promotes relaxation and emotional regulation.
Question 3 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following statements by the client indicates a therapeutic response to treatment?
Correct Answer: A
Rationale: The correct answer is A: "I stopped arguing with my partner today." This response indicates progress in managing interpersonal conflicts, a common challenge for individuals with borderline personality disorder. By avoiding arguments, the client is demonstrating improved emotional regulation and communication skills.
Choices B and C reflect impulsivity and aggression, which are typical symptoms of the disorder.
Choice D suggests emotional detachment, which can be a defense mechanism rather than genuine progress in treatment.
Question 4 of 5
A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates a positive response to medication?
Correct Answer: A
Rationale: The correct answer is A. If the client states, "The voices are quieter now," it indicates a positive response to medication as it suggests an improvement in symptoms.
Choice B indicates continued presence of harmful auditory hallucinations.
Choice C suggests non-compliance, a negative response to medication.
Choice D indicates worsening of symptoms which is a negative response.
Therefore, A is the correct answer as it aligns with the goal of medication in managing schizophrenia symptoms.
Question 5 of 5
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following statements by the client indicates progress in managing symptoms?
Correct Answer: A
Rationale: The correct answer is A because it indicates progress in managing symptoms by reducing the frequency of the compulsive behavior. Washing hands only once shows a decrease in the obsessive behavior compared to washing hands 20 times a day (choice
B), spending all day cleaning (choice
D), or being unable to leave the house without checking the stove (choice
C). By washing hands only once, the client is showing improvement in controlling the compulsions associated with obsessive-compulsive disorder.