ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Focus the client on reality-based activities. This is important because redirecting the client's focus to reality-based activities can help ground them and reduce the intensity of hallucinations. By engaging in activities that connect them to the present moment, the client can gain a sense of control and stability.
Choice A is incorrect as denying the client's experience can lead to mistrust and distress.
Choice B is incorrect as avoiding direct questions may not address the client's needs effectively.
Choice D is incorrect as conveying sympathy alone may not provide the client with coping strategies.
Question 2 of 5
A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Explain to the client that the duration of grief is highly variable and can last for years. This is the best action because it validates the client's experience and provides reassurance that prolonged grieving is normal. It helps the client understand that everyone copes with loss differently and that there is no set timeline for the grieving process. This approach promotes empathy and allows the client to feel heard and supported.
Explanation for other choices:
A: Cautioning against feeling angry can invalidate the client's emotions and hinder the therapeutic relationship.
B: Recommending solitary activities may isolate the client further and not address the underlying grief.
D: Encouraging avoidance of discussing the death can prevent the client from processing emotions and seeking support.
Question 3 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it focuses on identifying and changing maladaptive schemas and core beliefs. Individuals with narcissistic personality disorder often have distorted self-perceptions and dysfunctional beliefs about themselves and others. Schema-focused therapy helps challenge and modify these deep-rooted beliefs, leading to improved self-awareness and interpersonal relationships. Assertiveness training (
A) may not address the underlying issues of the disorder. Response prevention therapy (
B) is more suitable for conditions like OCD. While cognitive behavioral therapy (
D) can be beneficial, schema-focused therapy specifically targets the core beliefs associated with narcissistic personality disorder.
Question 4 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Give the client a choice of solitary activities. This is appropriate for a client with schizoid personality disorder, who typically prefers solitary activities and may struggle with social interactions. By offering a choice of solitary activities, the nurse is respecting the client's preferences and promoting a sense of autonomy and comfort.
A: Identifying splitting behaviors is more relevant for clients with borderline personality disorder, not schizoid personality disorder.
C: Setting limits on social contact is not appropriate as individuals with schizoid personality disorder typically prefer solitude.
D: Assisting the client in identifying sources of anger is more relevant for clients with other personality disorders characterized by emotional dysregulation.
In summary, option B is the best choice as it aligns with the needs and preferences of a client with schizoid personality disorder.
Question 5 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: A
Rationale: The correct answer is A: Chlordiazepoxide. This medication is a benzodiazepine used to manage acute alcohol withdrawal symptoms by reducing anxiety, tremors, and seizures. It acts on GABA receptors to provide sedative effects. Buprenorphine (
B) is used for opioid dependence, not alcohol withdrawal. Bupropion (
C) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal. Disulfiram (
D) is used as a deterrent to alcohol consumption, not for managing withdrawal symptoms.