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. In clients with borderline personality disorder, self-mutilation often stems from difficulty expressing and managing intense emotions. Encouraging the client to express feelings of anger helps them explore and process emotions in a healthier way, reducing the need for self-harm. Restricting access to personal belongings (
A) may lead to increased feelings of distress and lack of control. Placing the client in seclusion (
C) can escalate feelings of abandonment and worsen the behavior. Simply telling the client to stop self-mutilation (
D) overlooks the underlying emotional issues.
Question 2 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 focuses on addressing the underlying emotions that may lead to self-mutilation in clients with borderline personality disorder. By encouraging the client to express their feelings of anger, the nurse can help them develop healthier coping mechanisms and reduce the urge to self-harm. Restricting access to personal belongings (
A) may lead to feelings of frustration and exacerbate the behavior. Placing the client in seclusion (
C) can be traumatic and may not address the root cause of the behavior. Telling the client to stop self-mutilation (
D) is dismissive and oversimplifies the complexity of the disorder.
Question 3 of 5
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life." Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the caregiver to arrange for a daycare program for the client. This is the best option because it provides the caregiver with respite, allowing them to take a break and attend to their own needs while ensuring the client receives appropriate care. It also helps in preventing caregiver burnout and enhances the client's social engagement.
Option A is incorrect as prescribing antipsychotic medication should not be the first line of intervention for caregiver stress. Option B is incorrect as it does not address the caregiver's need for respite. Option C is incorrect as discussing communication strategies, while important, does not directly address the caregiver's need for relief.
Question 4 of 5
A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,E
Rationale: The correct answers are A (Anhedonia), B (Insomnia), and E (Feelings of worthlessness) for a client with major depressive disorder. Anhedonia is a key symptom characterized by lack of interest or pleasure in activities. Insomnia is a common symptom due to disrupted sleep patterns. Feelings of worthlessness are indicative of low self-esteem, a common feature in major depressive disorder. Weight gain (
C) is less common than weight loss in depression. Flight of ideas (
D) is more characteristic of manic episodes in bipolar disorder.
Question 5 of 5
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Ask the client directly what he is hearing. This action is important because it allows the nurse to gather specific information on the auditory hallucinations the client is experiencing. By directly asking the client, the nurse can better understand the nature and content of the hallucinations, which is crucial for developing an appropriate plan of care. It also demonstrates active listening and shows the client that their experiences are being taken seriously.
Choice A is incorrect because simply lying down in a quiet room does not address the auditory hallucinations.
Choice B is incorrect as referring to the hallucinations as if they are real can validate the delusions and worsen the client's condition.
Choice D is incorrect as avoiding eye contact can be perceived as dismissive or uninterested.