ATI RN
ATI RN Mental Health 2023 with NGN 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: C
Rationale: Schema-focused therapy targets NPD’s deep-seated patterns like grandiosity. Assertiveness doesn’t address core issues, response prevention is for OCD, and CBT is less specific than schema therapy.
Question 2 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Solitary activities suit schizoid preference for isolation. Splitting is BPD-related, social limits are unnecessary, and anger isn’t a priority focus.
Question 3 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy (ECT). Which of the following findings indicates the treatment is effective?
Correct Answer: D
Rationale: ECT is most effective for severe depression, improving symptoms like mood and sleep. It’s not standard for BPD, phobias, or seizure reduction (it induces seizures).
Extract:
Nurses' Notes
2200:
According to the police officer's report, the client was found sleeping near railroad tracks. Refused to give name, and no identification found. Client states they were, "Just doing what they were told to do. Didn't know it would take so long for the train to come." Client appears disheveled with poor hygiene. Client does not follow simple commands, refuses to answer questions, and will not make eye contact.
2230:
Client refusing to follow prescribed treatment plan. States they believe someone is trying to poison them. Noted to occasionally be mumbling as if talking to unseen others.
Provider Prescriptions
2200:
Clozapine 200 mg PO twice per day
Risperidone 4 mg PO twice per day
Question 4 of 5
A nurse in a mental health facility is admitting a client who was brought in by the police department. Exhibits:Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A,C, B,D
Rationale: Condition: Schizophrenia (
A) fits delusions and hallucinations. Actions: Near nurses’ station (
A) for observation, maintain meds (
C) for symptom control. Parameters: Command hallucinations (
B) and suicidal ideation (
D) assess risk and progress.
Extract:
Question 5 of 5
A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Maintaining a low level of environmental stimuli is crucial for clients experiencing command hallucinations. A calm and quiet environment can help reduce the intensity and frequency of hallucinations, providing a sense of safety and reducing stress and anxiety.
Touch may be misinterpreted, group therapy might overwhelm, and avoiding eye contact, while useful, is less critical than minimizing stimuli.