ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has post-traumatic stress disorder (PTSD). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Provide a structured routine. Structured routines help individuals with PTSD feel safe and in control, reducing anxiety and triggers. Encouraging the client to discuss past trauma (
A) can be retraumatizing. Discouraging emotional expression (
C) may hinder healing. Limiting social interactions (
D) can increase feelings of isolation, worsening symptoms.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and takes clozapine. Which of the following findings is a priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Sore throat. With clozapine, a potential side effect is agranulocytosis, a severe drop in white blood cells. A sore throat could indicate an infection due to low white blood cells, which can be life-threatening. Reporting this promptly to the provider allows for timely intervention. A: Nausea is a common side effect of clozapine but not an immediate concern. B: A random blood glucose level of 130 mg/dL is within normal range and not directly related to clozapine. C: A heart rate of 104 per minute may be elevated but not specifically associated with clozapine use.
Question 3 of 5
A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse should recognize that these findings are associated with which of the following personality disorders?
Correct Answer: C
Rationale: The correct answer is C: Borderline personality disorder. The client's behaviors of excessive compliance, passivity, and self-denial are characteristic of individuals with borderline personality disorder. People with borderline personality disorder often struggle with a fear of abandonment, unstable self-image, and intense emotions, leading to behaviors such as self-denial and compliance to avoid rejection.
Choice A (Dependent) is incorrect because dependent personality disorder is characterized by a pervasive need to be taken care of, rather than self-denial and excessive compliance.
Choice B (Paranoid) is incorrect as paranoid personality disorder involves distrust and suspicion of others, not self-denial and passivity.
Choice D (Histrionic) is incorrect because histrionic personality disorder is characterized by attention-seeking behavior and emotional dramatics, which do not align with the client's presentation of excessive compliance and self-denial.
Question 4 of 5
A nurse in a community mental health clinic is caring for a group of clients. The nurse should encourage participation in cognitive behavioral family therapy in response to which of the following client statements?
Correct Answer: A
Rationale: The correct answer is A because cognitive behavioral family therapy focuses on changing unhealthy thought patterns and behaviors. By expressing a desire to learn how to change reactions to family problems, the client is indicating readiness to work on cognitive and behavioral strategies.
Choice B focuses on understanding past experiences, not actively changing current behaviors.
Choice C emphasizes improving family understanding of boundaries, not individual reactions.
Choice D focuses on increasing awareness of feelings but lacks a direct focus on changing reactions.
Therefore, A is the most appropriate choice for cognitive behavioral family therapy.
Question 5 of 5
A nurse is developing a plan of care for a client who has borderline personality disorder and exhibits manipulative behavior. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Implement consistent limit-setting. For clients with borderline personality disorder and manipulative behavior, consistent limit-setting is essential to establish boundaries and promote a structured environment. By enforcing consistent limits, the nurse helps the client understand acceptable behaviors and consequences, fostering a sense of security and predictability. Encouraging flexibility with unit rules (
A) may enable manipulation by blurring boundaries. Allowing negotiation of consequences (
C) can reinforce manipulative behavior by giving the client power to avoid accountability. Avoiding addressing manipulative behavior (
D) fails to address the issue and can perpetuate maladaptive behaviors.