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: Encourage the client to express feelings of anger. This intervention helps the client learn healthier ways to cope with emotions, reducing the likelihood of self-mutilation. A: Restricting access may increase feelings of helplessness. C: Seclusion can escalate distress and is not therapeutic. D: Telling the client to stop is dismissive and lacks understanding. Encouraging expression of anger promotes emotional awareness and communication skills.
Question 2 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: Maintaining adequate hydration is crucial when taking lithium to prevent toxicity. Lithium is excreted through the kidneys, and dehydration can lead to increased lithium levels in the blood. Drinking 2-3 liters of water daily helps to maintain proper lithium levels and reduces the risk of toxicity.
Summary:
A: Reducing sodium intake is not directly related to lithium's effectiveness.
B: Taking lithium on an empty stomach may cause gastrointestinal side effects, but it's not a requirement.
C: Drinking 2-3 liters of water daily is essential to prevent lithium toxicity.
D: Stopping lithium abruptly can trigger a relapse of bipolar symptoms.
Question 3 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. During adolescence, individuals explore and develop their sense of self and try to establish a coherent identity. This stage aligns with Erikson's theory of psychosocial development. Option A (Generativity vs self-absorption) is more relevant to middle adulthood. Option B (Trust vs mistrust) pertains to infancy. Option C (Intimacy vs isolation) relates to young adulthood.
Therefore, the correct stage for an adolescent client would be D, as they are likely navigating issues related to their identity and role in society.
Question 4 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interact with buspirone and increase its concentration in the body, leading to potential side effects or toxicity. It shows the client understands the importance of avoiding certain foods while on this medication to ensure its effectiveness and safety.
Option A is incorrect because buspirone is typically taken regularly, not as needed. Option B is incorrect because sedation and drowsiness are not common side effects of buspirone. Option D is incorrect as buspirone is not associated with a risk for dependence.
Question 5 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A, D, E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time helps in enhancing understanding and compliance due to cognitive impairment in dementia.
D: Reinforcing orientation to time, place, and person helps maintain the client's connection to reality and reduce confusion.
E: Establishing eye contact when communicating with the client promotes engagement and connection, aiding in effective communication.
Incorrect choices:
B: Refuting delusions using logic may escalate confusion and distress in the client with dementia.
C: Allowing the client to choose among a variety of activities may overwhelm them due to cognitive limitations.