ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Implement consequences until the client takes the medication. In this scenario, the client's refusal to take prescribed medication could be detrimental to their health and well-being. By implementing consequences, the nurse is establishing boundaries and reinforcing the importance of following the treatment plan. This approach helps ensure the client's safety and promotes therapeutic compliance.
A: Informing the client that he does not have the right to refuse medication is not a therapeutic approach and could lead to a power struggle.
B: Administering the medication via IM injection without the client's consent violates their autonomy and could damage the nurse-client relationship.
C: Offering the medication at the next scheduled dose time may not address the client's refusal and could prolong the issue.
D: Implementing consequences is the most appropriate action to address the client's refusal and emphasize the importance of medication compliance.
Question 2 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 3 of 5
A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder?
Correct Answer: B
Rationale: The correct answer is B: "I will provide my mother with detailed instructions about how to perform self-care." This statement indicates an understanding of obsessive-compulsive disorder as individuals with OCD often struggle with performing routine tasks without detailed instructions. Providing clear instructions can help the individual feel more in control and reduce anxiety.
A: Limiting clothing choices may worsen anxiety and reinforce compulsive behaviors.
C: Waking the mother up to check on her feeds into the need for reassurance, which can perpetuate OCD symptoms.
D: Discouraging the mother from talking about physical complaints is not directly related to managing OCD symptoms.
In summary,
Choice B is correct as it addresses the need for detailed instructions to support the mother in managing her self-care tasks, which aligns with the challenges faced by individuals with OCD.
Question 4 of 5
A nurse is speaking with a client. Which of the following responses by the nurse demonstrates the communication technique of reflection?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the communication technique of reflection by mirroring the client's feelings back to them. This shows empathy and understanding, fostering a deeper connection.
Choice A is a supportive statement, not reflective.
Choice C focuses on problem-solving, not reflecting.
Choice D is an open-ended question, not reflective.
Question 5 of 5
A nurse is planning care for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Monitor for seizures. During alcohol withdrawal, the client is at risk for seizures due to decreased levels of GABA and increased levels of glutamate in the brain. Monitoring for seizures allows for early detection and prompt intervention. Administering disulfiram (
A) is used for alcohol aversion therapy but is not appropriate during acute withdrawal. Restricting fluid intake (
C) can lead to dehydration, exacerbating withdrawal symptoms. Providing a high-protein diet (
D) is important for overall nutrition but does not specifically address the risk of seizures during withdrawal.