ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: B
Rationale: The correct answer is B. Implementing measures to prevent intentional self-inflicted injury is the priority for a client with borderline personality disorder as it addresses the immediate safety concern. Self-harm is common in this population, so ensuring the client's safety is paramount. Encouraging the client to attend support group meetings (
Choice
A) may be beneficial but does not address the immediate safety issue. Assisting the client to maintain awareness of thoughts and feelings (
Choice
C) and discussing assertive behavior (
Choice
D) are important but addressing safety comes first.
Question 2 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience cognitive decline, including memory loss and difficulty recognizing familiar objects or people. This is due to the progressive deterioration of brain cells involved in memory and cognition. Altered level of consciousness (
A) is not typically a prominent feature of Alzheimer's disease, as individuals are usually awake and alert. Excessive motor activity (
B) is more commonly seen in conditions like mania or hyperactivity disorders, not specifically in Alzheimer's disease. Rapid mood swings (
D) may occur in some individuals with Alzheimer's, but failure to recognize familiar objects is a more characteristic feature.
Question 3 of 5
A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will place a sliding bolt lock just above the doorknob." This statement indicates an understanding of the teaching on home safety for a client with advanced Alzheimer's disease as it addresses the need to secure the doors to prevent wandering, a common behavior in Alzheimer's patients. Placing a sliding bolt lock above the doorknob is effective as it is out of the client's line of sight and reach, making it harder for them to unlock and wander unsupervised.
Incorrect options:
B: Notifying law enforcement within 2 hours if the client cannot be found is important, but prevention through secure locks is key.
C: Ensuring the bedroom is dark while sleeping is not directly related to home safety for a client with Alzheimer's.
D: Giving the client's most recent photo to the police is important for identification but does not prevent wandering.
Question 4 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Give the client a choice of solitary activities. Individuals with schizoid personality disorder typically prefer solitary activities and may feel uncomfortable in social situations. Providing the client with a choice of solitary activities respects their preferences and promotes their comfort and autonomy.
Explanation for incorrect options:
A: Identifying splitting behaviors is more relevant for borderline personality disorder, not schizoid personality disorder.
B: While anger management may be helpful for some clients, it is not a primary intervention for schizoid personality disorder.
D: Setting limits on the client's need for social contact goes against the nature of schizoid personality disorder, which is characterized by a preference for solitude.
Question 5 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Focus the client on reality-based activities. This is appropriate as it helps ground the client in reality and distract from the hallucinations. Conveying sympathy (
A) is important but does not address the hallucinations directly. Telling the client her experience is not real (
B) may cause distress or worsen the situation. Avoiding direct questions (
C) may not address the client's needs. Option E, F, and G are not provided.