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: The correct answer is D. Assigning the same staff members daily helps establish consistency and trust, which is crucial for clients with borderline personality disorder who struggle with unstable relationships and fear of abandonment. This intervention promotes continuity of care and helps the client feel more secure. A is incorrect because discussing maladaptive behaviors is essential for therapy. B is incorrect as exploring feelings of abandonment requires professional guidance. C is incorrect as encouraging dependent behaviors can hinder progress.
Question 2 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: A
Rationale: The correct answer is A: The client demonstrates that they are oriented to person, place, and time. This indicates the client's mental status and ability to make informed decisions. Removing restraints when the client is oriented helps ensure their safety and autonomy.
Choice B is incorrect as refusal of medication is not necessarily a reason to remove restraints.
Choice C is incorrect as self-harm risk does not automatically mean restraints should be removed.
Choice D is incorrect as following commands does not indicate the client's cognitive functioning or orientation level.
Question 3 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: D
Rationale: The correct answer is D: "How has this impacted your life?" This question allows the nurse to assess the client's emotional response, coping mechanisms, and overall adjustment to the stroke. By understanding the client's perspective, the nurse can provide tailored support.
A: "Why do you think this has happened?" is not the best choice as it focuses on the cause of the condition rather than the client's coping strategies.
B: "Are you okay with not being able to do some things you used to do?" is limiting and may not capture the full extent of the client's experience.
C: "Is anyone available to assist you with your hygiene?" is too specific and does not address the broader impact of the stroke on the client's life.
In summary, asking the client how the stroke has impacted their life (
D) is the most appropriate question to assess coping mechanisms and provide holistic care.
Question 4 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Cocaine is a stimulant drug that causes vasoconstriction and increases heart rate, leading to elevated blood pressure. This is due to the release of catecholamines like norepinephrine. Cocaine does not typically cause hypothermia or bradycardia. Hypothermia is more commonly associated with sedative overdose, and bradycardia is not a typical effect of stimulant drugs like cocaine.
Therefore, in a client who has recently used cocaine, the nurse should expect hypertension as a common clinical manifestation.
Question 5 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: The correct answer is D because reporting a lack of sleep is a classic symptom of acute mania in bipolar disorder. During manic episodes, individuals often experience decreased need for sleep or even insomnia. This can lead to heightened energy levels, racing thoughts, and increased impulsivity. Writing a detailed daily activity schedule (
A) may suggest organization rather than mania. Refusing to engage in conversation (
B) and isolating self from others (
C) are more indicative of depression or social withdrawal, which are not specific to acute mania.