ATI RN
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has generalized anxiety disorder. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Reducing the client’s anxiety levels is the priority goal in generalized anxiety disorder (GA
D). Anxiety is the core symptom, and lowering it improves overall functioning and quality of life. Improving sleep quality is important, as anxiety disrupts sleep, but reducing anxiety itself addresses the root cause. Enhancing decision-making is secondary; anxiety impairs focus, but alleviating it first enables better cognition. Increasing energy levels is not the primary focus, as fatigue often stems from anxiety, making its reduction the key goal.
Question 2 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Stabilizing the client’s mood is the priority goal in borderline personality disorder (BP
D). Emotional dysregulation drives many symptoms (e.g., impulsivity, relationship issues), and mood stability is foundational to progress. Increasing appetite is not a primary concern unless related to a co-occurring condition; mood takes precedence. Improving concentration is secondary, as emotional instability often underlies cognitive issues in BPD. Enhancing self-esteem is important long-term, but stabilizing mood addresses the acute volatility first.
Question 3 of 5
A nurse is planning care for a client who has schizophrenia. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Reducing the client’s hallucinations is the priority goal in schizophrenia. Hallucinations (e.g., voices) are a distressing positive symptom that can lead to safety risks (e.g., command hallucinations), making their reduction critical. Improving appetite is secondary; nutritional issues may exist, but psychotic symptoms take precedence. Enhancing social skills is a long-term goal, as hallucinations and thought disorders impair social function, requiring symptom control first. Increasing energy levels is not primary; negative symptoms like apathy may persist, but hallucinations are more urgent.
Question 4 of 5
A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following goals should the nurse prioritize?
Correct Answer: A
Rationale: Decreasing the client’s rituals is the priority goal in obsessive-compulsive disorder (OC
D). Compulsive behaviors drive distress and dysfunction, and reducing them (e.g., via exposure therapy) is central to treatment. Improving sleep quality is secondary; rituals may disrupt sleep, but addressing the compulsions tackles the root issue. Enhancing social interactions is a long-term benefit, but rituals must be managed first to free up time and mental capacity. Increasing energy levels is not primary; fatigue may stem from OCD’s demands, making ritual reduction key.
Question 5 of 5
A nurse is evaluating a client who has anorexia nervosa. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client gains 0.5 kg (1 lb) per week is a successful outcome. Consistent weight gain is a primary indicator of physical recovery in anorexia nervosa, addressing malnutrition and health risks effectively. The client reports improved mood is positive but secondary; mood often improves with nutritional stability, not the primary measure of success. The client attends a social event shows social engagement, a good sign, but not the core outcome of physical restoration. The client exercises daily for 30 minutes could indicate persistent compulsive behavior, not success, unless medically approved.