ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because encouraging the client to express feelings of anger helps in addressing the underlying emotions that may lead to self-mutilation. This intervention promotes open communication and healthy emotional expression, which can reduce the need for self-harm. Restricting access to personal belongings (
A) may escalate feelings of helplessness and increase the risk of self-harm. Placing the client in seclusion (
C) can be traumatic, worsen feelings of isolation, and hinder therapeutic rapport. Directly telling the client to stop self-mutilation (
D) is not effective as it oversimplifies the complex issue and may lead to defensiveness.
Question 2 of 5
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
Correct Answer: C
Rationale:
Rationale: In the orientation phase, it's crucial to establish roles to clarify boundaries and expectations. This helps build trust and sets the foundation for the therapeutic relationship. Discussing resources (
A) is more appropriate in the working phase. Teaching relaxation exercises (
B) and changing stress responses (
D) are interventions for later phases. In summary, setting roles (
C) is essential in the orientation phase, while the other options are more suited for subsequent phases of therapy.
Question 3 of 5
A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state?
Correct Answer: A
Rationale: The correct answer is A: "What are the voices telling you?" This response demonstrates active listening and shows empathy towards the client's experience, which helps in building trust. By asking about the content of the voices, the nurse can assess the severity of the hallucinations and potential risks.
Choice B does not address the client's concerns effectively.
Choice C is important but not the priority at this moment as assessing the hallucinations is crucial.
Choice D is relevant but doesn't address the immediate need to assess the content of the voices.
Question 4 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: Correct answer: B
Rationale:
- B is correct because fluoxetine, an SSRI, can initially increase suicidal thoughts in some individuals, especially at the start of treatment.
- A is incorrect because improvement in mood may take several weeks to manifest, not a few days.
- C is incorrect because avoiding tyramine-rich foods is related to MAOIs, not SSRIs like fluoxetine.
- D is incorrect because monitoring lithium levels is not necessary with fluoxetine, as it is used for bipolar disorder, not major depressive disorder.
Question 5 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. This is important because individuals experiencing mania in bipolar disorder often have high energy levels, decreased need for sleep, and exhibit impulsive behaviors. Encouraging rest periods can help to regulate their energy levels and promote relaxation, which can aid in managing symptoms of mania.
Choice A is incorrect because placing the client in seclusion can exacerbate feelings of anxiety and agitation.
Choice B may not be effective as spending time in a dayroom may not address the client's need for rest.
Choice C is not appropriate as withdrawing TV privileges may not be directly related to managing mania symptoms.
In summary, encouraging the client to take frequent rest periods is the most appropriate intervention as it directly addresses the symptoms of mania by helping to regulate energy levels and promote relaxation.