ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 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: Cognitive behavioral therapy. This is because CBT helps address maladaptive thinking patterns and behaviors commonly seen in narcissistic personality disorder. It focuses on challenging and changing negative thought patterns and promoting healthier coping strategies. Schema-focused therapy (
A) is more appropriate for personality disorders like borderline personality disorder. Assertiveness training (
C) may be beneficial, but it does not target the core issues of NPD. Response prevention therapy (
D) is used for conditions like OCD, not NPD.
Question 2 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: The correct answer is A: Establish confidentiality guidelines with the client. This is the first action the nurse should take to build trust and establish a therapeutic relationship. Confidentiality is crucial in mental health care to ensure clients feel safe sharing personal information. Sharing information about the disorder (choice
B) may be important but should come after confidentiality is established. Assisting the client with coping strategies (choice
C) and helping them make behavioral changes (choice
D) are interventions that can be implemented once a trusting relationship is in place.
Question 3 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale:
Correct
Answer: A - Have you noticed an increase in thirst?
Rationale: Olanzapine, an antipsychotic medication, can cause side effects such as increased thirst due to its anticholinergic properties. Asking the client about increased thirst can help monitor for potential side effects.
Summary:
B: Unintentional weight loss is not a common side effect of olanzapine, so it is not a priority question.
C: Ringing in the ears is not typically associated with olanzapine use, so this question is not relevant.
D: Decreased taste is not a common side effect of olanzapine, making this question less important than asking about increased thirst.
Question 4 of 5
A nurse is caring for a client following a physical assault. The client states, I don't remember what happened to me. The nurse should recognize that the client is using which of the following defense mechanisms?
Correct Answer: B
Rationale: The correct answer is B: Repression. Repression is a defense mechanism where unpleasant or threatening thoughts or memories are pushed into the unconscious mind. In this scenario, the client's inability to remember the assault indicates that their mind is blocking out the traumatic event as a way to protect themselves from the emotional distress associated with it. Rationalization (
A) is when a person justifies their behavior, displacement (
C) is redirecting emotions to a substitute target, and denial (
D) is refusing to accept reality. In this case, repression is the most fitting defense mechanism as it aligns with the client's memory loss related to the assault.
Question 5 of 5
A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for self-harm?
Correct Answer: A
Rationale: The correct answer is A: "Have you ever felt you should decrease your consumption of alcohol?" This question assesses the client's potential risk for self-harm by addressing the issue of alcohol consumption, which is a common risk factor for self-harm behaviors. Clients who feel the need to decrease their alcohol intake may be at higher risk for self-harm.
Choice B is incorrect as it focuses on liver damage and not on self-harm risk.
Choice C is irrelevant to self-harm risk assessment.
Choice D addresses family alcohol use but does not directly assess the individual's risk for self-harm. It is important to ask specific questions related to self-harm behaviors to accurately assess the client's risk.