ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a client who has post-traumatic stress disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to use relaxation techniques. This intervention is important for managing symptoms of post-traumatic stress disorder (PTS
D) such as anxiety and hyperarousal. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and guided imagery, can help the client cope with stress and regulate their emotions. Encouraging the client to use these techniques promotes self-soothing and enhances the client's ability to manage distressing symptoms.
Choices A, B, and D are incorrect because they can be harmful and counterproductive in treating PTSD. Encouraging the client to suppress traumatic memories or discouraging discussion of the trauma can worsen symptoms and prevent healing. Limiting the client's participation in activities can also hinder their recovery and lead to social isolation. It is essential to focus on evidence-based interventions like relaxation techniques to support the client's mental health and well-being.
Question 2 of 5
A nurse in a mental health facility is assessing a client who has schizophrenia. The nurse should document which of the following as a positive symptom?
Correct Answer: C
Rationale: The correct answer is C: Delusions. Positive symptoms refer to added behaviors or experiences not typically present in individuals without schizophrenia. Delusions are false beliefs that are not based on reality, which are considered a positive symptom. Social withdrawal (
A) is a negative symptom, involving a reduction or absence of normal behaviors. Flat affect (
B) is also a negative symptom, characterized by a lack of emotional expression. Lack of motivation (
D) is another negative symptom, reflecting reduced ability to initiate and sustain goal-directed activities.
Therefore, delusions (
C) align with positive symptoms of schizophrenia, making it the correct choice.
Question 3 of 5
A nurse is assessing a client who has opioid withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. Opioid withdrawal typically leads to increased sympathetic activity, causing symptoms like insomnia. Hypotension (
A) is not common in opioid withdrawal, as opioids can actually cause hypotension. Hyperthermia (
B) is also not a typical finding in opioid withdrawal. Bradycardia (
D) is unlikely as opioids usually cause bradycardia, not withdrawal. Insomnia (
C) is a common symptom due to the dysregulation of sleep-wake cycles during opioid withdrawal.
Question 4 of 5
A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse should recognize that these findings are associated with which of the following personality disorders?
Correct Answer: C
Rationale: The correct answer is C: Borderline personality disorder. The client's behaviors of excessive compliance, passivity, and self-denial are characteristic of individuals with borderline personality disorder. People with borderline personality disorder often struggle with a fear of abandonment, unstable self-image, and intense emotions, leading to behaviors such as self-denial and compliance to avoid rejection.
Choice A (Dependent) is incorrect because dependent personality disorder is characterized by a pervasive need to be taken care of, rather than self-denial and excessive compliance.
Choice B (Paranoid) is incorrect as paranoid personality disorder involves distrust and suspicion of others, not self-denial and passivity.
Choice D (Histrionic) is incorrect because histrionic personality disorder is characterized by attention-seeking behavior and emotional dramatics, which do not align with the client's presentation of excessive compliance and self-denial.
Question 5 of 5
A nurse is reviewing the laboratory results on an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hgb 10 g/dL. In anorexia nervosa, there is severe malnutrition leading to decreased hemoglobin levels (anemia) due to inadequate iron intake. This can result in fatigue, weakness, and shortness of breath. Blood glucose levels (choice
A) are usually normal in anorexia nervosa as the body tries to maintain glucose levels for energy. T4 levels (choice
B) are typically low in anorexia nervosa due to a decrease in thyroid function. Potassium levels (choice
C) are usually low in anorexia nervosa due to malnutrition and purging behaviors.
Therefore, Hgb 10 g/dL is the most expected finding in an adolescent with anorexia nervosa.