ATI RN
ATI RN Mental Health 2023 with NGN Questions
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?
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, often hindering task completion. Lack of empathy, exploitative behavior, and clinging are not typical features of OCPD.
Question 2 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?
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 3 of 5
A nurse is caring for a client who has social anxiety disorder. The client reports experiencing feelings of anxiousness that disrupt their sleep. Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: Guided imagery calms anxiety, aiding sleep. Forcing sleep increases frustration, heavy meals disrupt rest, and sleep restriction worsens anxiety.
Question 4 of 5
A nurse is assessing the sleep pattern of a client who has an anxiety disorder. The client reports having difficulty sleeping most nights. Which of the following recommendations should the nurse make?
Correct Answer: B
Rationale: Exercise 3 hours before bed reduces anxiety and improves sleep. TV stimulates, late meals cause discomfort, and long naps disrupt nighttime rest.
Question 5 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: Rationalization justifies blackouts with a logical but false reason (low blood sugar) rather than the psychological cause. Suppression, sublimation, and projection don’t fit.