ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: D
Rationale: Assigning the same staff daily provides stability and trust, aiding social interaction for a client with borderline personality disorder. Avoiding maladaptive behaviors hinders therapy, exploring abandonment is relevant but indirect, and encouraging dependency is counterproductive.
Question 2 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: D
Rationale: A lack of sleep is a hallmark of acute mania, where clients feel little need for rest, exacerbating other symptoms. Detailed scheduling, refusal to converse, and isolation align more with depression or other states, not mania’s high energy.
Extract:
Nurses’ Notes
2000:
Client presents to the triage desk accompanied by a friend. The client states, “I need help. I was raped about an hour ago.” The client’s friend states, “I think they may have been drugged.” Allergies: penicillin, doxycycline Physical exam: General: exhibits anxiety Respiratory: breath sounds clear Cardiovascular: S1, S2, no murmur Abdomen: soft, mildly tender Skin: bruising to upper arms bilaterally, broken fingernails
Vital Signs
2015:
Blood pressure: 128/88 mm Hg
Heart rate: 80/min
Respiratory rate: 16/min
Temperature: 37°C (98.6°F)
Weight: 67.1 kg (147.9 lbs.)
Diagnostic Results
2030:
Urine drug screen: GHB (gamma-hydroxybutyric acid): positive
Question 3 of 5
A nurse is caring for a client in the emergency department.Drag words from the choices below to fill in each blank in the following sentence. The nurse should identify that the client’s ------------------------ and -------------------- are consistent with sexual assault.
Correct Answer: A,B
Rationale: GHB in diagnostic results and abdominal tenderness with bruising support sexual assault. Other vitals (BP, temp) are normal and less specific.
Extract:
Question 4 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Using past coping mechanisms shows understanding of proactive self-care, leveraging familiar strategies to manage depression. Staying in bed reinforces withdrawal, avoiding discussion hinders processing, and relying on others reduces autonomy, all contrary to effective self-care.
Question 5 of 5
A nurse is assessing a client who has post-traumatic stress disorder (PTSD). Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,D,E
Rationale: Clients with PTSD often exhibit persistent negative beliefs about self (
A), difficulty sleeping (
D), and trouble concentrating (E) due to hyperarousal and intrusive thoughts. Excessive talking (
B) and blaming others (
C) are not diagnostic criteria, with avoidance or withdrawal being more typical.