ATI RN
ATI RN Mental Health 2023 Exam 2 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: C
Rationale: The correct answer is C: Implement measures to prevent intentional self-inflicted injury. This is the priority because individuals with borderline personality disorder are at a high risk of self-harm or suicide. By focusing on preventing self-inflicted harm, the nurse ensures the client's safety and addresses the most immediate threat. Encouraging support group attendance (
A) and discussing assertive behavior (
B) are important but not as critical as safety. Assisting the client in maintaining awareness of thoughts and feelings (
D) is valuable for therapy but does not address the immediate risk of harm.
Question 2 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "We are concerned about you and need to keep you safe." This response is appropriate because it acknowledges the client's demand for privacy while also emphasizing the nurse's primary responsibility to ensure the client's safety. It addresses the client's feelings of being cared for and understood, which can help build trust.
Choice A is incorrect because it does not address the client's request for privacy and may come across as dismissive.
Choice B is incorrect as it suggests compliance with the treatment plan as a condition for privacy, which may not be appropriate in this situation.
Choice C is incorrect as safety contracts are not considered effective in preventing suicide and may provide a false sense of security.
Question 3 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: C
Rationale: The correct answer is C: Implement measures to prevent intentional self-inflicted injury. This is the priority because individuals with borderline personality disorder are at a high risk of self-harm or suicide. By focusing on preventing self-inflicted harm, the nurse ensures the client's safety and addresses the most immediate threat. Encouraging support group attendance (
A) and discussing assertive behavior (
B) are important but not as critical as safety. Assisting the client in maintaining awareness of thoughts and feelings (
D) is valuable for therapy but does not address the immediate risk of harm.
Question 4 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: The correct answer is A: The client is constantly talking. In bipolar disorder, during the manic phase, individuals often exhibit rapid speech, impulsivity, and excessive talking. This behavior is a hallmark of mania. The other choices are incorrect because expressing feelings of inferiority (
B) is more indicative of depression, memory loss (
C) could be a symptom of various conditions but not specific to mania, and sleeping over 10 hours a day (
D) is more characteristic of depression or sedation from medication.
Question 5 of 5
A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: B
Rationale: The correct answer is B: A client who has conversion disorder. Clients with conversion disorder may experience sensory impairments such as blindness or paralysis that cannot be explained by medical conditions. The nurse should assess for risks related to these impairments to ensure the client's safety.
Incorrect choices:
A: A client with narcissistic personality disorder does not typically present with sensory impairments.
C: A client with mild anxiety disorder may have heightened sensory perception but not necessarily sensory impairments.
D: A client with severe obsessive-compulsive disorder may have sensory sensitivities but not impairments like those seen in conversion disorder.