ATI RN
ATI RN Mental Health 2023 with NGN 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 high risk for self-harm behaviors. Preventing harm to the client is the most immediate concern to ensure their safety and well-being. Encouraging support group attendance (
A) and discussing assertive behavior (
B) are important but not as critical as preventing self-injury. Assisting the client to maintain awareness of thoughts and feelings (
D) is also important but not the priority in this case.
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: B
Rationale: The correct answer is B: Failure to recognize familiar objects. In Alzheimer's disease, individuals often experience difficulties with memory and cognitive function, leading to the inability to recognize familiar objects or people. This is due to the progressive deterioration of brain cells affecting memory and perception. Altered level of consciousness (
A) is not a typical finding in Alzheimer's disease unless there is a medical complication. Excessive motor activity (
C) is not commonly associated with Alzheimer's, as individuals often exhibit decreased motor skills. Rapid mood swings (
D) may occur in some cases, but failure to recognize familiar objects is a more characteristic finding.
Question 3 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it focuses on identifying and changing maladaptive schemas and core beliefs. Individuals with narcissistic personality disorder often have distorted self-perceptions and dysfunctional beliefs about themselves and others. Schema-focused therapy helps challenge and modify these deep-rooted beliefs, leading to improved self-awareness and interpersonal relationships. Assertiveness training (
A) may not address the underlying issues of the disorder. Response prevention therapy (
B) is more suitable for conditions like OCD. While cognitive behavioral therapy (
D) can be beneficial, schema-focused therapy specifically targets the core beliefs associated with narcissistic personality disorder.
Question 4 of 5
A nurse is caring for a client who has social anxiety disorder. The client reports experiencing feelings of anxiousness that disrupt their sleep. Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct recommendation is A: Try guided imagery before bedtime. Guided imagery is a relaxation technique that can help reduce anxiety and promote better sleep. By engaging in guided imagery, the client can focus on positive mental images, calming their mind and body, leading to improved sleep. This technique is evidence-based and has been shown to be effective in managing anxiety and improving sleep quality.
Other choices are incorrect:
B: Lie in bed and try to make yourself fall asleep - This can increase anxiety and worsen sleep disturbances.
C: Eat something substantial before getting ready for bed - Eating a large meal before bed can disrupt sleep and exacerbate anxiety.
D: Restrict the amount of sleep you are getting - Restricting sleep can worsen anxiety symptoms and lead to further sleep disturbances.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when supporting the client's refusal of medications?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to respecting the client's right to make their own decisions about their treatment. By supporting the client's refusal of medications, the nurse is upholding the principle of autonomy and acknowledging the client's right to choose what happens to their own body. This empowers the client and promotes self-determination.
Other choices are incorrect because:
B: Beneficence focuses on doing good for the client, which would involve ensuring the client receives necessary treatment.
C: Veracity relates to truth-telling, not the client's right to refuse treatment.
D: Justice is about fairness and equal treatment, not specifically related to respecting the client's autonomy.