ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Provide written information about the client's treatment plan. This is important for a client with paranoid personality disorder as it helps establish trust through transparency and consistency. Providing written information ensures clarity and minimizes misunderstandings that may trigger paranoia.
Choice B is incorrect as encouraging countertransference can jeopardize the therapeutic relationship.
Choice C is incorrect as splitting behaviors are not typically associated with paranoid personality disorder.
Choice D is incorrect as isolating the client can exacerbate feelings of suspicion and mistrust.
Question 2 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.
Question 3 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: B
Rationale: While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care. Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others. Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons. Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.
Question 4 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Recent head injury. The nurse should report this finding to the provider because bupropion is contraindicated in patients with a history of seizures or recent head trauma. Bupropion lowers the seizure threshold, increasing the risk of seizures in these patients. Hepatitis B infection (choice
A), hypothyroidism (choice
B), and knee arthroplasty 1 month ago (choice
C) are not contraindications for bupropion use in smoking cessation. The presence of a recent head injury poses a significant risk and warrants immediate attention to ensure patient safety.
Question 5 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is a form of aversion therapy, which helps the client interrupt the obsessive thought pattern by associating it with a negative physical sensation. By snapping the rubber band on the wrist, the client creates a negative consequence for the behavior, making it less desirable to continue the checking behavior. This helps in breaking the cycle of obsessive thoughts and compulsive behaviors associated with obsessive-compulsive disorder.
A: Asking a family member to check the locks enables avoidance rather than addressing the underlying issue.
B: Keeping a journal may help increase awareness but does not actively interrupt the thought pattern.
C: Focusing on abdominal breathing is a relaxation technique that may help manage anxiety but does not directly address the obsessive behavior.
E, F, G: These options are not provided in the question and are therefore irrelevant.