ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?
Correct Answer: D
Rationale: The correct answer is D: Safety plan. For a client with borderline personality disorder, a safety plan is crucial to address self-harm behaviors or suicidal ideation. It involves identifying triggers, warning signs, coping strategies, and emergency contacts to prevent harm. Dialectical behavior therapy (
A) is a recommended treatment, but it's not specifically for discharge planning. Behavioral contract (
B) may lack the flexibility needed for managing impulsive behaviors in BPD. Milieu therapy (
C) focuses on therapeutic environment, not individual discharge planning. Other choices are omitted as they are not relevant to the specific needs of a client with borderline personality disorder.
Question 2 of 5
A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because identifying precipitating factors for rituals helps the nurse understand triggers for OCD behaviors. This knowledge can guide interventions to prevent or manage these behaviors effectively. Discussing coping strategies (
A), teaching relaxation techniques (
C), or providing a structured activity schedule (
D) would be premature without understanding the root cause. In summary, addressing the triggers is crucial in managing OCD behaviors effectively.
Question 3 of 5
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Correct Answer: C, E
Rationale: Negative symptoms of schizophrenia include anhedonia (inability to experience pleasure) and blunt affect (reduced emotional expression). Delusions and hallucinations are positive symptoms.
Question 4 of 5
A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Correct Answer: A
Rationale: The correct answer is A: Mental Status Examination (MSE). This is a crucial part of the assessment for a suspected cognitive disorder in older adults. The MSE evaluates cognitive functions such as orientation, memory, attention, language, and executive functions. It helps in identifying any cognitive deficits and provides a baseline for monitoring changes over time.
Brief Patient Health Questionnaire (Brief PHQ) (
B), Abnormal Involuntary Movements Scale (AIMS) (
C), and Scale for Assessment of Negative Symptoms (SANS) (
D) are not appropriate for assessing cognitive disorders. The Brief PHQ is used for screening depression, AIMS for monitoring movement disorders, and SANS for assessing negative symptoms in psychiatric disorders. These tools do not directly evaluate cognitive functions.
Question 5 of 5
Which intervention should a nurse prioritize when caring for a client with alcohol use disorder?
Correct Answer: B
Rationale: The correct answer is B: Providing adequate hydration and rest. This intervention is crucial in managing alcohol use disorder as it addresses the physical consequences of excessive alcohol consumption, such as dehydration and exhaustion. Hydration helps prevent complications like electrolyte imbalances and detoxification, while rest supports the body's healing process. Helping the client identify positive personality traits (
A) may be beneficial for self-esteem but is not a priority in the acute care phase. Confronting denial and defense mechanisms (
C) can lead to resistance and hinder the therapeutic relationship. Educating the client about alcohol misuse (
D) is important but may not be effective if the client is not physically stable.