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 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.
Question 2 of 5
A nurse is evaluating a client who has obsessive-compulsive disorder. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client performs rituals less often is a successful outcome. Reduced compulsive behaviors in obsessive-compulsive disorder (OC
D) indicate progress in managing symptoms, a key treatment goal. The client reports better appetite is positive but secondary; appetite may improve as rituals decrease, not the primary measure. The client socializes with friends is a good sign but not the core outcome; reduced rituals enable social functioning. The client sleeps through the night is beneficial, but decreased rituals are the direct indicator of OCD treatment success.
Question 3 of 5
The nurse is assessing a client in group therapy on which type of techniques for modifying behaviors would be most appropriate. The nurse has decided to use covert sensitization. Which of the following statement best describes this type of therapy?
Correct Answer: B
Rationale: Covert sensitization is an aversion therapy where unpleasant consequences are associated with undesirable behavior. In this technique, the individual imagines the negative outcomes of the behavior to deter its occurrence. This helps in modifying behaviors by creating a strong aversion towards the unwanted behavior.
Therefore, choice B is correct as it aligns with the description of covert sensitization.
Choices A, C, and D do not accurately describe covert sensitization and are related to different behavioral modification techniques.
Question 4 of 5
A nurse is interviewing a client during admission to an alcohol treatment center. Which of the following approaches should the nurse take?
Correct Answer: B
Rationale: The correct approach is to maintain a nonjudgmental attitude (
B) because it fosters trust and open communication. By being nonjudgmental, the nurse creates a safe space for the client to share honestly without fear of criticism or condemnation, which is crucial for effective assessment and treatment planning. Verbalizing disapproval (
A) can lead to defensiveness and hinder rapport-building. Offering sympathetic support (
C) may be perceived as patronizing and may not address the client's needs effectively. Avoiding displaying an emotional response (
D) may come off as cold or detached, hindering the therapeutic relationship.
Question 5 of 5
A nurse in an emergency department is performing an assessment on a client who reports being sexually assaulted. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct first action for the nurse is to document the client's verbatim statements. This is crucial for legal and forensic purposes, ensuring accurate and timely documentation of the client's account of the assault. It helps preserve evidence, maintain confidentiality, and guide further assessment and care. Asking for permission to take photographs, providing support contacts, and determining physical signs of injury are important but should come after documenting the client's statements. These actions may be secondary to establishing a detailed and accurate record of the client's initial report.