ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Preoccupation with details. Individuals with obsessive-compulsive personality disorder are known for their perfectionism and preoccupation with details. This trait can manifest in their need for precision and order in various aspects of their life. This behavior is a key characteristic of this personality disorder.
Choice A, Exploitative behavior, is more commonly seen in individuals with antisocial personality disorder.
Choice B, Lack of empathy, is more associated with narcissistic personality disorder.
Choice C, Excessive clinging, is not a typical feature of obsessive-compulsive personality disorder.
In summary, the other choices are incorrect because they do not align with the characteristic traits commonly seen in individuals with obsessive-compulsive personality disorder.
Question 2 of 5
A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Identify the client's current stage of grief. This is the priority because understanding the client's current stage of grief allows the nurse to tailor interventions accordingly. By assessing the client's stage, the nurse can provide targeted support and interventions to help the client process and cope with their grief effectively.
Choice B is incorrect because while informing the client about expected feelings is important, it is not the priority over assessing the current stage of grief.
Choice C is incorrect as physical activities may not be suitable or helpful depending on the client's stage of grief.
Choice D is also incorrect as discussing the use of a spiritual grief counselor should come after assessing the client's current needs and preferences.
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: C
Rationale: The correct answer is C: "Have you noticed an increase in thirst?" This question is relevant because olanzapine, an antipsychotic medication, can cause side effects like increased thirst due to its impact on the body's regulation of water balance. By asking this question, the nurse can assess for potential side effects of the medication and monitor for dehydration.
Choices A, B, and D are less relevant as they do not directly relate to common side effects of olanzapine.
Choice A about decreased taste is not a common side effect of olanzapine.
Choice B about ringing in the ears is more likely related to ototoxic medications.
Choice D about unintentional weight loss is not a common side effect of olanzapine, which is more commonly associated with weight gain.
Question 4 of 5
A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will place a sliding bolt lock just above the doorknob." This statement indicates an understanding of the teaching on home safety for a client with advanced Alzheimer's disease because it addresses the specific safety measure of installing a sliding bolt lock to prevent the client from wandering outside unsupervised. This type of lock is a practical strategy to enhance the client's safety by restricting access to potentially dangerous areas.
Choice A is incorrect because notifying law enforcement within 2 hours of the client not being found is not a preventative safety measure.
Choice B is incorrect as giving a photo to the police is reactive and may not prevent the client from wandering.
Choice D is incorrect as ensuring the bedroom is dark at night does not directly address the safety concern of wandering.
Question 5 of 5
A nurse is caring for a client who has a depressive disorder. The client states, 'I don’t always go to bed at night, so I get in trouble for falling asleep at work.' Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: Rationale for Correct Answer C: Keeping a sleep diary to promote a consistent sleep schedule is the most appropriate intervention. By tracking sleep patterns, the client and nurse can identify underlying issues impacting sleep and work together to establish a structured routine. This intervention promotes sleep hygiene and helps regulate the client's sleep-wake cycle, potentially improving sleep quality and work performance.
Summary for Incorrect Answers:
A: Taking a 1-hour nap every day may disrupt the client's circadian rhythm and worsen insomnia.
B: Exercising late in the day can increase alertness and make it harder for the client to fall asleep at night.
D: Discontinuing medication without medical guidance can be dangerous and may exacerbate the client's depressive symptoms.