ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: This response uses therapeutic communication to encourage expression without judgment, fostering trust. 'You will feel better' dismisses autonomy, 'shouldn’t feel embarrassed' invalidates, and 'lots of people' minimizes the client’s unique experience.
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: Agnosia (failure to recognize objects) is common in Alzheimer’s. Excessive activity, mood swings, and altered consciousness are less typical.
Question 3 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Reporting sleep trouble shows relapse awareness. Listening to voices reinforces them, isolation worsens symptoms, avoiding TV isn’t comprehensive.
Question 4 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale: Communicating needs addresses BPD’s interpersonal challenges, aligning with therapies like DBT. Mood and hygiene are less specific, hallucinations aren’t typical.
Extract:
Vital Signs
Blood pressure: 112/68 mm Hg
Temperature: 37° C (98.6° F)
Heart rate: 64/min
Respiratory rate: 12/min
Oxygen saturation: 98% on room air
Medical History
A 19-year-old female client presents to the clinic accompanied by her parents. The parents indicate they "have to do something or she is going to end up in jail - we cannot believe a thing she tells us.” The client is disinterested, standing with arms crossed, and not answering questions when addressed. Her parents indicate she “can be very nice to be around, but when denied something she wants, she becomes aggressive and abusive.” Parents report impulsivity and that the client does not show remorse for her actions. According to her parents, “she is reckless and irresponsible.” The parents indicate this type of behavior started around age 13 and has recently become more frequent. The client states, “I can do what I want. Nobody is going to tell me what to do.”
Question 5 of 5
A nurse is caring for a client. Exhibits:Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.
Correct Answer: B, A&E, C&E
Rationale: Antisocial personality (
B) fits impulsivity/aggression. Assess criminal history (
A) and set boundaries (E), monitor aggression (
C) and deceit (E).