ATI RN
ATI Mental Health 2023 II 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 and transparency, reducing their suspicion. Providing written information ensures clarity and consistency in communication, helping to alleviate fears of hidden agendas.
Choice B is incorrect as encouraging countertransference can blur professional boundaries and hinder the therapeutic relationship.
Choice C is incorrect as monitoring for splitting behaviors is more relevant for clients with borderline personality disorder.
Choice D is incorrect as isolating the client goes against the therapeutic goal of promoting social interactions to improve social skills and reduce feelings of being persecuted.
Question 2 of 5
A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?
Correct Answer: D
Rationale: The correct answer is D because an increased frequency of visits from a spiritual advisor in response to illness may indicate spiritual distress, seeking additional support. A: Integrating therapy with meditation is a positive coping strategy. B and C: Finding hope and comfort in faith and meditation are signs of spiritual well-being.
Question 3 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: B
Rationale: The correct answer is B: Explore feelings of abandonment. Individuals with borderline personality disorder commonly struggle with intense fear of abandonment, which can greatly impact their social interactions. By exploring these feelings, the nurse can help the client better understand and manage their emotions, ultimately improving their social interactions. Encouraging dependent behaviors (
A) may reinforce maladaptive patterns. Avoiding discussing maladaptive behaviors (
C) can hinder progress in therapy. Assigning the same staff members daily (
D) may provide consistency but does not directly address the client's social interactions.
Question 4 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms by reducing anxiety, tremors, and seizures. Benzodiazepines help stabilize the client's central nervous system by enhancing the effects of gamma-aminobutyric acid (GAB
A), which inhibits excessive neuronal activity caused by alcohol withdrawal. Disulfiram (
A) is used to deter alcohol consumption by causing unpleasant side effects when alcohol is consumed. Buprenorphine (
C) is used for opioid dependence, not alcohol withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal.
Question 5 of 5
A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse considered a mandated reporter to the appropriate agency?
Correct Answer: B
Rationale: The correct answer is B because the nurse is mandated to report any suspicions of child abuse or neglect, including situations where a child is being tied to a bed as punishment. This falls under the duty to report laws to protect vulnerable populations.
Choice A involves drug use, which is not typically mandated to report unless it poses an immediate danger.
Choice C involves theft, which is not typically mandated to report unless it involves a vulnerable population.
Choice D involves lying about suicidal ideation, which is concerning but doesn't involve imminent harm to others.