ATI RN Mental Health 2023 with NGN

Extract:

Question 1 of 5

A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?

A. Lack of empathyB. Preoccupation with detailsC. Exploitative behaviorD. Excessive clinging

Correct Answer: B

Rationale: Preoccupation with details is a hallmark of OCPD. Individuals with this disorder have an excessive concern with orderliness, perfectionism, and control over their environment and tasks. Lack of empathy, exploitative behavior, and excessive clinging are not typical OCPD traits. (Note: This is a repeat of Question 2 with an unrelated explanation about ACT, likely a document error; correct rationale applied.)

Question 2 of 5

A nurse is caring for a client who is being treated for posttraumatic stress disorder (PTSD). The client states, 'I’m not able to fall asleep easily or stay asleep.' Which of the following recommendations should the nurse make?

A. Catch up on lost sleep by napping during the daytime.B. Avoid reading in the evenings prior to bedtime.C. Dim the screen on your cellphone when using it in your bedroom.D. Try meditation before you go to bed at night.

Correct Answer: D

Rationale: Meditation calms the mind and improves sleep quality in PTSD. Naps disrupt nighttime sleep, reading can relax, and dimming screens is less effective than avoiding devices altogether.

Question 3 of 5

A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?

A. A client who has conversion disorderB. A client who has mild anxiety disorderC. A client who has narcissistic personality disorderD. A client who has severe obsessive-compulsive disorder

Correct Answer: D

Rationale: Severe OCD may involve sensory overload from heightened focus on stimuli, risking distress. Conversion disorder mimics impairments psychologically, anxiety heightens sensitivity, and narcissism doesn’t affect senses.

Question 4 of 5

A nurse is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I don’t want to go on living without them.' Which of the following therapeutic responses should the nurse make?

A. If you attend counseling, you will get your child back.'B. We can ask the physician to prescribe a sedative.'C. Have you thought about harming yourself?'D. Can a family member try to obtain temporary custody of your child?'

Correct Answer: C

Rationale: This assesses suicide risk directly, addressing safety first. False promises, sedatives, or custody suggestions don’t tackle the immediate threat.

Question 5 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?

A. Improvement in manifestations of borderline personality disorder.B. Decreased fear of heights.C. Reduced frequency of seizures.D. Improvement in manifestations of depression.

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).

ATI RN Mental Health 2023 with NGN | Nurselytic

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ATI RN

ATI RN