ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has generalized anxiety disorder about strategies to manage anxiety. Which of the following should the nurse include? (Select all that apply)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. Progressive muscle relaxation helps reduce muscle tension and promotes relaxation. Journaling encourages the client to express their thoughts and feelings, helping to process and cope with anxiety. Deep breathing exercises activate the body's relaxation response and help calm the mind. Avoiding stressful situations is not a healthy long-term strategy, as it can lead to avoidance behavior and increased anxiety in the future. Drinking caffeinated beverages can exacerbate anxiety symptoms due to their stimulant effects.
Question 2 of 5
A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,E
Rationale: The correct answers are A (Anhedonia), B (Insomnia), and E (Feelings of worthlessness) for a client with major depressive disorder. Anhedonia is a key symptom characterized by lack of interest or pleasure in activities. Insomnia is a common symptom due to disrupted sleep patterns. Feelings of worthlessness are indicative of low self-esteem, a common feature in major depressive disorder. Weight gain (
C) is less common than weight loss in depression. Flight of ideas (
D) is more characteristic of manic episodes in bipolar disorder.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Inability to carry out a simple task. During a depressive episode in bipolar disorder, individuals often experience symptoms such as difficulty concentrating, making decisions, and carrying out tasks due to low energy levels and lack of motivation. This is known as psychomotor retardation, which is common in depressive episodes of bipolar disorder.
Choice B is incorrect as auditory hallucinations are more commonly associated with psychotic features in bipolar disorder, such as during manic episodes.
Choice C, moving quickly from one idea to the next, is a symptom more characteristic of a manic episode where there is racing thoughts and increased energy levels.
Choice D, expressing illusions of grandeur, is also more indicative of a manic episode where individuals may have inflated self-esteem and grandiose beliefs.
Question 4 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.
Question 5 of 5
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Ask the client directly what he is hearing. This action is important because it allows the nurse to gather specific information on the auditory hallucinations the client is experiencing. By directly asking the client, the nurse can better understand the nature and content of the hallucinations, which is crucial for developing an appropriate plan of care. It also demonstrates active listening and shows the client that their experiences are being taken seriously.
Choice A is incorrect because simply lying down in a quiet room does not address the auditory hallucinations.
Choice B is incorrect as referring to the hallucinations as if they are real can validate the delusions and worsen the client's condition.
Choice D is incorrect as avoiding eye contact can be perceived as dismissive or uninterested.