ATI RN
ATI RN Mental Health 2023 Exam 2 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 as changes in sleep patterns can be an early sign of relapse in schizophrenia. By communicating this to the counselor, the client can receive appropriate support and interventions.
A: "I should listen carefully to the voices to hear what they're saying." This statement is incorrect as it encourages engaging with auditory hallucinations, which can exacerbate symptoms.
C: "I should avoid being around others if I think I'm having a relapse." This statement is incorrect as social withdrawal can worsen symptoms and isolation is not recommended.
D: "I should avoid watching television when I am hearing voices." This statement is incorrect as it does not address the underlying issue of seeking help from a counselor for symptom management.
Question 2 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: Blood glucose 256 mg/dL (74 to 106 mg/dL). Elevated blood glucose levels can be a side effect of risperidone, an atypical antipsychotic medication. Notify the provider to assess for potential hyperglycemia, which can lead to serious complications like diabetic ketoacidosis.
A, B, and D are within normal ranges. A slightly low or high sodium level, WBC count, or platelet count are not typically concerning in this case.
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 is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I will tell your provider that you would like a treatment other than massage." This is the most appropriate choice because it addresses the client's stated discomfort with being touched and shows respect for their autonomy and preferences. By communicating this to the provider, alternative treatment options can be explored that better suit the client's needs and comfort level.
A: Incorrect - Dismissing the client's concerns and assuming the anxiety will lessen is not addressing the root issue of their discomfort.
B: Incorrect - While accommodating by suggesting gloves, it does not address the core issue of the client's aversion to touch.
C: Incorrect - Asking why the client doesn't like to be touched may put them on the spot and does not provide a solution to their discomfort.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because improving communication of needs is a key therapeutic goal for clients with borderline personality disorder. Effective communication can help reduce impulsive behaviors and enhance interpersonal relationships. Verbalizing improved mood (
A) may not address the underlying emotional dysregulation. Attending to personal hygiene (
B) is important but may not directly address the core issues of the disorder. Reporting a decrease in hallucinations (
D) is more relevant to psychotic disorders. Other choices are not provided, but focusing on communication skills is crucial for managing this disorder effectively.