ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is evaluating a client who has anorexia nervosa. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client gains 0.5 kg (1 lb) per week is a successful outcome. Consistent weight gain is a primary indicator of physical recovery in anorexia nervosa, addressing malnutrition and health risks effectively. The client reports improved mood is positive but secondary; mood often improves with nutritional stability, not the primary measure of success. The client attends a social event shows social engagement, a good sign, but not the core outcome of physical restoration. The client exercises daily for 30 minutes could indicate persistent compulsive behavior, not success, unless medically approved.
Question 2 of 5
A nurse is evaluating a client who has major depressive disorder. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client reports no suicidal thoughts is a successful outcome. Eliminating suicidal ideation in major depressive disorder (MD
D) indicates improved safety and mental health, a critical treatment goal. The client eats three meals a day is positive, showing appetite recovery, but less urgent than resolving suicide risk. The client sleeps 6 hours per night is an improvement if previously disrupted, but not the primary success marker over safety. The client completes a complex task shows better concentration, but safety from suicidal thoughts is the top priority.
Question 3 of 5
A nurse is evaluating a client who has generalized anxiety disorder. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client reports reduced worry is a successful outcome. Decreased anxiety and worry are the primary goals in generalized anxiety disorder (GA
D), reflecting effective symptom management. The client gains 2 kg (4 lb) is unrelated unless anxiety caused weight loss, not a direct measure of GAD success. The client socializes daily is positive but secondary; reduced worry enables social engagement, not the core outcome. The client sleeps 8 hours nightly is beneficial, but reduced worry is the key indicator of GAD treatment success.
Question 4 of 5
A nurse is evaluating a client who has borderline personality disorder. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client reports stable emotions is a successful outcome. Emotional stability is a primary goal in borderline personality disorder (BP
D), reducing dysregulation and impulsivity effectively. The client gains 1 kg (2 lb) is irrelevant unless tied to a co-occurring issue, not a direct BPD success marker. The client sleeps 7 hours per night is positive but secondary; sleep may improve with stability, not the core outcome. The client completes a work project shows functioning, but emotional stability is the key treatment success indicator.
Question 5 of 5
A nurse is evaluating a client who has schizophrenia. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client reports no hallucinations is a successful outcome. Reducing or eliminating hallucinations in schizophrenia indicates effective symptom control, a primary treatment goal. The client eats three meals daily is positive for physical health but secondary to managing psychotic symptoms. The client attends a family event shows social improvement, but hallucination reduction is the core success marker. The client exercises for 20 minutes is beneficial but not a direct indicator of schizophrenia treatment success over symptom relief.