ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Maintain a low level of environmental stimuli. Command hallucinations are auditory hallucinations that instruct the individual to perform certain actions. By reducing environmental stimuli, the nurse can help minimize triggers that may exacerbate the hallucinations. This intervention aims to create a calming and safe environment for the client, reducing the likelihood of responding to the hallucinations. Providing reassurance through touch (choice
A) may not address the underlying issue of hallucinations and could potentially be triggering. Encouraging increased socialization (choice
B) may overwhelm the client and increase stress. Avoiding eye contact (choice
C) may create a barrier in communication and trust-building. Overall, maintaining a low level of environmental stimuli is the most appropriate intervention to support the client in managing command hallucinations.
Question 2 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Preoccupation with details. Individuals with obsessive-compulsive personality disorder (OCP
D) often display an intense focus on perfectionism and rigid adherence to rules and details. This preoccupation can manifest in various aspects of their lives, such as work, relationships, and daily routines. This behavior is a key characteristic of OCPD and distinguishes it from other personality disorders.
Incorrect answers:
A: Lack of empathy - While individuals with OCPD may struggle with expressing emotions, the primary feature is not a lack of empathy.
C: Exploitative behavior - Exploitative behavior is not a typical feature of OCPD; it is more commonly associated with antisocial personality disorder.
D: Excessive clinging - Excessive clinging is not a characteristic of OCPD; it may be more indicative of dependent personality disorder.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Preoccupation with details. Individuals with obsessive-compulsive personality disorder (OCP
D) are characterized by a rigid adherence to rules, orderliness, and perfectionism, leading to a preoccupation with details. This is a key feature of OCPD as these individuals tend to focus excessively on minute details, leading to difficulty in completing tasks efficiently. Lack of empathy (
A), exploitative behavior (
C), and excessive clinging (
D) are not typical findings in OCPD. Lack of empathy is more characteristic of antisocial personality disorder, exploitative behavior is more characteristic of narcissistic personality disorder, and excessive clinging is not a common feature of OCPD.
Question 4 of 5
A nurse is caring for a client who is going through the grieving process. Which of the following actions should the nurse take to meet the client's spiritual needs?
Correct Answer: D
Rationale: The correct answer is D. Offering to contact the client's spiritual advisor shows support for the client's spiritual needs, providing them with an opportunity to seek comfort and guidance from someone who shares their beliefs. This action respects the client's autonomy and individual preferences. It acknowledges the importance of spirituality in the grieving process, which can provide solace and coping mechanisms.
Options A, B, and C are incorrect:
A: Encouraging the client to internalize their feelings may hinder the grieving process and inhibit emotional expression, potentially leading to unresolved issues.
B: Changing the subject when the client expresses anger dismisses their emotions and prevents them from processing their feelings effectively.
C: Allowing the client to be alone during times of spiritual inadequacy may exacerbate feelings of isolation and hinder their ability to seek support and comfort.
Question 5 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Varenicline. Varenicline is a medication used to help individuals quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It works by targeting the nicotine receptors in the brain, making smoking less satisfying. Naltrexone (
A) is used for alcohol dependence, not smoking cessation. Disulfiram (
B) is used for alcohol aversion therapy, not smoking cessation. Donepezil (
D) is used for Alzheimer's disease, not smoking cessation.
Therefore, the nurse should expect the provider to prescribe varenicline to help the client quit smoking successfully.