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: The correct answer is B: Preoccupation with details. Individuals with obsessive-compulsive personality disorder (OCP
D) often display an intense focus on perfectionism and rigid adherence to rules and details. This preoccupation can manifest in various aspects of their lives, such as work, relationships, and daily routines. This behavior is a key characteristic of OCPD and distinguishes it from other personality disorders.
Incorrect answers:
A: Lack of empathy - While individuals with OCPD may struggle with expressing emotions, the primary feature is not a lack of empathy.
C: Exploitative behavior - Exploitative behavior is not a typical feature of OCPD; it is more commonly associated with antisocial personality disorder.
D: Excessive clinging - Excessive clinging is not a characteristic of OCPD; it may be more indicative of dependent personality disorder.
Question 2 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience difficulties with memory and cognitive function, leading to the inability to recognize familiar objects or people. This is due to the progressive deterioration of brain cells affecting memory and perception. Altered level of consciousness (
A) is not a typical finding in Alzheimer's disease unless there is a medical complication. Excessive motor activity (
C) is not commonly associated with Alzheimer's, as individuals often exhibit decreased motor skills. Rapid mood swings (
D) may occur in some cases, but failure to recognize familiar objects is a more characteristic finding.
Question 3 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: The correct answer is A. A client with mania often exhibits rapid and excessive talking, a common symptom of mania. This behavior is known as pressured speech. Option B, memory loss, is not typically associated with mania but may occur in certain situations. Option C, sleeping over 10 hours a day, is more indicative of depression rather than mania. Option D, expressing feelings of inferiority, is more aligned with symptoms of depression, not mania.
Question 4 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: The nurse should prioritize the client's comfort and autonomy. By acknowledging the client's discomfort with massage therapy, the nurse shows respect for the client's preferences and can explore alternative treatment options with the provider. This response promotes client-centered care.
Summary of Other
Choices:
B: This response does not address the client's underlying discomfort with touch and may not adequately address the client's needs.
C: While exploring the client's reasons for not liking touch is important, it does not directly address the immediate issue of the client's preference for a different treatment.
D: Dismissing the client's concerns and suggesting that the anxiety will lessen once the massage begins is not respectful of the client's feelings and may increase their distress.
Question 5 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of the other clients. By assessing the client's intentions, the nurse can determine the level of risk and take appropriate measures to prevent harm.
Choice A is incorrect because exploring stress reduction techniques is not the immediate priority when there is a risk of harm to others.
Choice B is incorrect as role modeling healthy ways to express anger is not as urgent as addressing the current aggressive behavior.
Choice D is incorrect as making a list of things that make the client angry does not address the immediate safety concerns of the other clients.
Overall, the priority in this situation is to assess the client's intentions to prevent harm to others.