ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has an alcohol use disorder. Which of the following statements should the nurse make to help prevent relapse?
Correct Answer: A
Rationale: The correct answer is A: "List the negative effects of alcohol use in your life." This statement is effective in preventing relapse as it helps the client identify the consequences of their alcohol use, increasing their motivation to change. It promotes self-reflection and awareness of the harmful impact of alcohol on their life.
Choice B is incorrect because attending support group meetings may be helpful but does not directly address the client's personal consequences of alcohol use.
Choice C is incorrect as prescribing lorazepam is not a recommended method for preventing relapse in alcohol use disorder.
Choice D is incorrect as revisiting familiar places associated with drinking can trigger cravings and increase the risk of relapse.
Question 2 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Preoccupation with details. Individuals with obsessive-compulsive personality disorder (OCP
D) often display an intense focus on perfectionism and rigid adherence to rules and details. This preoccupation can manifest in various aspects of their lives, such as work, relationships, and daily routines. This behavior is a key characteristic of OCPD and distinguishes it from other personality disorders.
Incorrect answers:
A: Lack of empathy - While individuals with OCPD may struggle with expressing emotions, the primary feature is not a lack of empathy.
C: Exploitative behavior - Exploitative behavior is not a typical feature of OCPD; it is more commonly associated with antisocial personality disorder.
D: Excessive clinging - Excessive clinging is not a characteristic of OCPD; it may be more indicative of dependent personality disorder.
Question 3 of 5
A nurse is providing teaching to the partner of a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following pieces of information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should administer the medication immediately before bedtime." Donepezil is typically recommended to be taken at bedtime to reduce the risk of side effects such as nausea and insomnia. Administering it at this time also helps with adherence to the medication schedule.
Choice B is incorrect because donepezil does not cure Alzheimer's disease, so the dose is not decreased as the disease improves.
Choice C is incorrect because while donepezil may help with symptoms, it does not stop the progression of the disease.
Choice D is incorrect because donepezil does not decrease the risk of falls; in fact, it may cause side effects that increase the risk of falls.
Question 4 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of the other clients. By assessing the client's intentions, the nurse can determine the level of risk and take appropriate measures to prevent harm.
Choice A is incorrect because exploring stress reduction techniques is not the immediate priority when there is a risk of harm to others.
Choice B is incorrect as role modeling healthy ways to express anger is not as urgent as addressing the current aggressive behavior.
Choice D is incorrect as making a list of things that make the client angry does not address the immediate safety concerns of the other clients.
Overall, the priority in this situation is to assess the client's intentions to prevent harm to others.
Extract:
Nurses' Notes
2200:
According to the police officer's report, the client was found sleeping near railroad tracks. Refused to give name, and no identification found. Client states they were, "Just doing what they were told to do. Didn't know it would take so long for the train to come." Client appears disheveled with poor hygiene. Client does not follow simple commands, refuses to answer questions, and will not make eye contact.
2230:
Client refusing to follow prescribed treatment plan. States they believe someone is trying to poison them. Noted to occasionally be mumbling as if talking to unseen others.
Provider Prescriptions
2200:
Clozapine 200 mg PO twice per day
Risperidone 4 mg PO twice per day
Question 5 of 5
A nurse in a mental health facility is admitting a client who was brought in by the police department. Exhibits:Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A,C, B,D
Rationale: Action to Take: A, A; Potential Condition: C; Parameter to Monitor: B, D.
Rationale: The client is likely experiencing schizophrenia based on brought in by the police, so actions to take include providing a safe environment (placing client in a room near the nurses' station) and administering antipsychotic medications to address the condition. Potential condition of seizures (
C) should be monitored closely. Parameters to monitor include behavior changes (
B) and medication efficacy (
D) to assess progress and ensure safety. Other choices are incorrect as they do not align with the client's likely condition or best practices in mental health care.