ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Ask the client directly what he is hearing. This action is essential in understanding the nature and content of the auditory hallucinations the client is experiencing. By directly asking the client about their hallucinations, the nurse can gather valuable information to assess the severity and impact on the client's mental health. It also helps establish a therapeutic relationship based on trust and communication.
Choice A is incorrect because encouraging the client to lie down in a quiet room may not address the underlying issue of auditory hallucinations.
Choice B is incorrect as referring to the hallucinations as real may validate and exacerbate the client's distress.
Choice D is incorrect as avoiding eye contact may hinder effective communication and trust-building.
Question 2 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: Maintaining adequate hydration is crucial when taking lithium to prevent toxicity. Lithium is excreted through the kidneys, and dehydration can lead to increased lithium levels in the blood. Drinking 2-3 liters of water daily helps to maintain proper lithium levels and reduces the risk of toxicity.
Summary:
A: Reducing sodium intake is not directly related to lithium's effectiveness.
B: Taking lithium on an empty stomach may cause gastrointestinal side effects, but it's not a requirement.
C: Drinking 2-3 liters of water daily is essential to prevent lithium toxicity.
D: Stopping lithium abruptly can trigger a relapse of bipolar symptoms.
Question 3 of 5
A nurse is providing teaching to a client who has generalized anxiety disorder about strategies to manage anxiety. Which of the following should the nurse include? (Select all that apply)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. Progressive muscle relaxation helps reduce muscle tension and promotes relaxation. Journaling encourages the client to express their thoughts and feelings, helping to process and cope with anxiety. Deep breathing exercises activate the body's relaxation response and help calm the mind. Avoiding stressful situations is not a healthy long-term strategy, as it can lead to avoidance behavior and increased anxiety in the future. Drinking caffeinated beverages can exacerbate anxiety symptoms due to their stimulant effects.
Question 4 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express feelings of anger. This intervention helps the client learn healthier ways to cope with emotions, reducing the likelihood of self-mutilation. A: Restricting access may increase feelings of helplessness. C: Seclusion can escalate distress and is not therapeutic. D: Telling the client to stop is dismissive and lacks understanding. Encouraging expression of anger promotes emotional awareness and communication skills.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because encouraging the client to express feelings of anger helps in addressing the underlying emotions that may lead to self-mutilation. This intervention promotes open communication and healthy emotional expression, which can reduce the need for self-harm. Restricting access to personal belongings (
A) may escalate feelings of helplessness and increase the risk of self-harm. Placing the client in seclusion (
C) can be traumatic, worsen feelings of isolation, and hinder therapeutic rapport. Directly telling the client to stop self-mutilation (
D) is not effective as it oversimplifies the complex issue and may lead to defensiveness.