ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Give the client a choice of solitary activities. Individuals with schizoid personality disorder tend to prefer solitary activities and have difficulty forming close relationships. Offering a choice of solitary activities respects their need for independence and solitude, promoting their sense of control and autonomy. This intervention can help the client feel more comfortable and engaged without the pressure of social interaction.
A: Identifying splitting behaviors is more relevant to borderline personality disorder, not schizoid.
C: Helping the client identify sources of anger may not be as beneficial since schizoid individuals often have limited emotional expression.
D: Setting limits on the client's social contact is not appropriate as schizoid individuals prefer solitude.
Question 2 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it targets the underlying maladaptive schemas and core beliefs that contribute to the disorder. By addressing these deep-seated patterns, individuals can develop healthier ways of thinking and behaving. Assertiveness training (
A) may not be as effective for addressing the core issues of narcissistic personality disorder. Response prevention therapy (
C) is typically used for anxiety disorders, not personality disorders. Cognitive behavioral therapy (
D) can be helpful but may not specifically target the underlying schemas in the same way as schema-focused therapy.
Question 3 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 and preventing seizures. It acts by enhancing the inhibitory effects of gamma-aminobutyric acid (GAB
A) in the brain, helping to stabilize the client during withdrawal. Disulfiram (
A) is used to deter alcohol consumption by causing unpleasant effects if alcohol is consumed. Bupropion (
C) is an antidepressant and is not typically used for alcohol withdrawal. Buprenorphine (
D) is a medication used for opioid addiction and is not typically indicated for alcohol withdrawal.
Question 4 of 5
A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Intense efforts to avoid abandonment. Individuals with borderline personality disorder often exhibit fear of abandonment leading to intense efforts to avoid it. This behavior is a key feature of the disorder, characterized by frantic attempts to avoid real or imagined separation. This finding is supported by the Diagnostic and Statistical Manual of Mental Disorders criteria for borderline personality disorder.
Choices A, B, and C are incorrect because while individuals with borderline personality disorder may experience difficulty in maintaining employment, have impulsivity leading to reckless spending or hoarding, and struggle with unstable relationships, the most characteristic feature related to the fear of abandonment is intense efforts to avoid it.
Question 5 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I will tell your provider that you would like a treatment other than massage." This is the most appropriate choice because it addresses the client's stated discomfort with being touched and shows respect for their autonomy and preferences. By communicating this to the provider, alternative treatment options can be explored that better suit the client's needs and comfort level.
A: Incorrect - Dismissing the client's concerns and assuming the anxiety will lessen is not addressing the root issue of their discomfort.
B: Incorrect - While accommodating by suggesting gloves, it does not address the core issue of the client's aversion to touch.
C: Incorrect - Asking why the client doesn't like to be touched may put them on the spot and does not provide a solution to their discomfort.