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 obsessive-compulsive disorder. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: Statement D indicates a lack of insight into the severity of the condition by considering obsessive behaviors as normal habits. This suggests a need for further education to help the client understand the difference between normal habits and compulsions in OCD.
Summary:
A: Correct - Describes the intrusive nature of obsessive thoughts in OCD.
B: Correct - Describes the compulsion to repeat actions for relief in OCD.
C: Correct - Acknowledges the time-consuming nature of OCD rituals.
D: Correct - Indicates a lack of awareness about the abnormality of OCD behaviors.
E: Incorrect - No statement provided.
F: Incorrect - No statement provided.
G: Incorrect - No statement provided.
Question 2 of 5
A nurse is assessing a client who has a history of substance abuse. The client states, 'I don’t need help; I can stop anytime I want.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "You seem confident, but let’s talk about why you’re here today." This response acknowledges the client's confidence but also expresses a willingness to discuss the underlying reasons for seeking help. It shows empathy and encourages further communication.
Choice B is incorrect because it assumes the client doesn't need treatment based solely on their statement, which may not be accurate.
Choice C may come off as confrontational and could potentially create resistance in the client.
Choice D is dismissive and does not promote a therapeutic relationship. The correct response, choice A, focuses on building rapport and understanding the client's perspective before exploring treatment options.
Question 3 of 5
A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following statements by the client indicates a need for immediate intervention?
Correct Answer: C
Rationale: The correct answer is C: "I haven’t slept in three days, and I’m fine." This statement indicates a lack of sleep, which can exacerbate manic symptoms and lead to potential harm. Sleep deprivation can worsen manic episodes, causing increased impulsivity and risky behaviors. It is crucial to intervene immediately to prevent any negative consequences.
Choices A, B, and D all reflect typical behaviors exhibited during a manic episode but do not pose an immediate risk to the client's well-being.
Question 4 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following statements by the client indicates progress in treatment?
Correct Answer: B
Rationale:
Correct
Answer: B. "I ate a full meal today without feeling guilty."
Rationale: This statement indicates progress as the client is able to consume a full meal without experiencing guilt, showing improved relationship with food and reduced anxiety around eating. This is a positive step towards recovery in anorexia nervosa treatment.
Incorrect
Choices:
A: "I’m still too fat, but I’ll eat a little more." - This statement reflects continued negative body image and may indicate ongoing disordered eating behaviors.
C: "I skipped breakfast, but I’ll make up for it later." - Skipping meals and planning to compensate for it later is indicative of unhealthy behaviors associated with anorexia nervosa.
D: "I exercised for an hour to burn off dinner." - Excessive exercise as a means to compensate for eating is a red flag for disordered eating habits.
Question 5 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.