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 schizophrenia. Which of the following behaviors should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Social withdrawal. In schizophrenia, clients often exhibit social withdrawal due to symptoms like paranoia, hallucinations, and negative symptoms. This behavior is a common manifestation of the illness. Logical conversations (choice
A) may be challenging due to disorganized thinking. Consistent eye contact (choice
C) may be difficult due to paranoia or hallucinations. Stable mood (choice
D) is unlikely as mood swings are common in schizophrenia.
Question 2 of 5
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following behaviors should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Repetitive actions. In obsessive-compulsive disorder (OC
D), individuals experience intrusive thoughts and engage in repetitive behaviors to alleviate anxiety. This behavior is characterized by compulsions such as repetitive hand washing or checking. This is a key feature of OCD.
A: Relaxed posture is unlikely as individuals with OCD often feel tense or anxious due to their obsessions and compulsions.
C: Quick decision-making is not typically associated with OCD as individuals may struggle with indecisiveness and perfectionism.
D: Decreased anxiety is unlikely as OCD is characterized by high levels of anxiety due to obsessions and the need to perform compulsions.
In summary, the nurse should expect repetitive actions in a client with OCD as a coping mechanism for their intrusive thoughts and anxiety.
Question 3 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale: The correct answer is D. This statement indicates a misconception about nutrition and weight gain. Clients with anorexia nervosa require a structured meal plan to ensure they are meeting their nutritional needs. Eating whatever they want can perpetuate malnutrition. Statement A is correct as weight gain is essential for health. Statement B is also correct as bradycardia is common in anorexia. Statement C is incorrect as moderate exercise can be beneficial under supervision.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale: The correct answer is D because not informing the doctor about symptoms can hinder proper treatment.
Choice A is correct as fatigue is a common symptom of depression.
Choice B is correct as physical activity can help improve mood.
Choice C is correct as depression can impact appetite.
Question 5 of 5
A nurse is caring for a client who has generalized anxiety disorder. Which of the following statements by the client indicates a need for further education?
Correct Answer: D
Rationale: The correct answer is D. This statement indicates a lack of understanding about generalized anxiety disorder. Anxiety typically does not go away on its own without proper treatment. Clients with GAD require therapy, medication, or other interventions.
Choices A, B, and C demonstrate good understanding of GAD symptoms and management. A - acknowledges the restlessness associated with anxiety, B - recognizes the link between caffeine and anxiety symptoms, and C - acknowledges the impact of anxiety on sleep.