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 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 2 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 3 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.
Question 4 of 5
A nurse is evaluating a client who has major depressive disorder. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client reports no suicidal thoughts is a successful outcome. Eliminating suicidal ideation in major depressive disorder (MD
D) indicates improved safety and mental health, a critical treatment goal. The client eats three meals a day is positive, showing appetite recovery, but less urgent than resolving suicide risk. The client sleeps 6 hours per night is an improvement if previously disrupted, but not the primary success marker over safety. The client completes a complex task shows better concentration, but safety from suicidal thoughts is the top priority.
Question 5 of 5
A nurse is evaluating a client who has generalized anxiety disorder. Which of the following outcomes indicates successful treatment?
Correct Answer: A
Rationale: The client reports reduced worry is a successful outcome. Decreased anxiety and worry are the primary goals in generalized anxiety disorder (GA
D), reflecting effective symptom management. The client gains 2 kg (4 lb) is unrelated unless anxiety caused weight loss, not a direct measure of GAD success. The client socializes daily is positive but secondary; reduced worry enables social engagement, not the core outcome. The client sleeps 8 hours nightly is beneficial, but reduced worry is the key indicator of GAD treatment success.