ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should let my counselor know if I am having trouble sleeping." This statement indicates an understanding of relapse prevention because changes in sleep patterns can be an early warning sign of relapse in schizophrenia. By informing the counselor about trouble sleeping, the client can receive timely support and intervention.
Incorrect options:
A: Avoiding television when hearing voices may be helpful, but it does not directly address relapse prevention.
C: Listening carefully to voices may worsen symptoms and is not a recommended strategy for managing schizophrenia.
D: Avoiding others during a potential relapse can lead to social isolation, which is not conducive to recovery.
Question 2 of 5
A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Maintain a low level of environmental stimuli. Command hallucinations are auditory hallucinations that instruct the individual to perform certain actions. By reducing environmental stimuli, the nurse can help minimize triggers that may exacerbate the hallucinations. This intervention aims to create a calming and safe environment for the client, reducing the likelihood of responding to the hallucinations. Providing reassurance through touch (choice
A) may not address the underlying issue of hallucinations and could potentially be triggering. Encouraging increased socialization (choice
B) may overwhelm the client and increase stress. Avoiding eye contact (choice
C) may create a barrier in communication and trust-building. Overall, maintaining a low level of environmental stimuli is the most appropriate intervention to support the client in managing command hallucinations.
Question 3 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: B
Rationale: The correct answer is B: Give the client a choice of solitary activities. This is appropriate for a client with schizoid personality disorder, who typically prefers solitary activities and may struggle with social interactions. By offering a choice of solitary activities, the nurse is respecting the client's preferences and promoting a sense of autonomy and comfort.
A: Identifying splitting behaviors is more relevant for clients with borderline personality disorder, not schizoid personality disorder.
C: Setting limits on social contact is not appropriate as individuals with schizoid personality disorder typically prefer solitude.
D: Assisting the client in identifying sources of anger is more relevant for clients with other personality disorders characterized by emotional dysregulation.
In summary, option B is the best choice as it aligns with the needs and preferences of a client with schizoid personality disorder.
Question 4 of 5
A nurse is caring for a client who is being treated for posttraumatic stress disorder (PTSD). The client states, 'I’m not able to fall asleep easily or stay asleep.' Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Try meditation before you go to bed at night. Meditation is a relaxation technique that can help reduce stress and calm the mind, making it easier to fall asleep. By engaging in meditation before bedtime, the client can promote a sense of relaxation and improve sleep quality.
Choice A: Catching up on lost sleep by napping during the daytime can disrupt the client's sleep cycle and make it harder to fall asleep at night.
Choice B: Avoiding reading in the evenings prior to bedtime may be a helpful suggestion, but it does not directly address the client's difficulty falling and staying asleep.
Choice C: Dimming the screen on the cellphone can reduce exposure to blue light, which can interfere with sleep, but it may not be as effective as meditation in promoting relaxation.
In summary, meditation is the best recommendation as it directly targets the client's sleep difficulties by promoting relaxation and reducing stress.
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: D
Rationale: The correct answer is D because individuals with severe obsessive-compulsive disorder may experience sensory impairments due to their obsessive thoughts and compulsive behaviors. This can manifest as heightened sensitivity to certain stimuli or a distorted perception of reality. The nurse should assess this client for risks related to these sensory impairments to ensure their safety and well-being.
Choice A (conversion disorder) is incorrect as it is characterized by physical symptoms that are not explained by any underlying medical condition.
Choice B (mild anxiety disorder) is incorrect as sensory impairments are not typically associated with mild anxiety.
Choice C (narcissistic personality disorder) is incorrect as it is a personality disorder characterized by a pattern of grandiosity, need for admiration, and lack of empathy, not sensory impairments.