ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse is caring for a client following a physical assault. The client states, 'I don’t remember what happened to me.' Which of the following defense mechanisms should the nurse recognize the client is using?
Correct Answer: D
Rationale: The correct answer is D: Repression. Repression is a defense mechanism in which unpleasant or distressing thoughts, memories, or feelings are pushed into the unconscious mind to avoid conscious awareness. In this scenario, the client's inability to remember the assault indicates that their mind has repressed the traumatic event to protect them from emotional distress. Denial (choice
A) involves refusing to acknowledge reality, Rationalization (choice
B) is justifying behaviors, and Displacement (choice
C) is redirecting emotions from the actual source to a substitute target.
Therefore, repression is the most appropriate defense mechanism in this context.
Question 4 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Rationalization. The client is attributing their blackouts to a seemingly logical and acceptable cause (low blood sugar) rather than acknowledging the true underlying issue of dissociative identity disorder. Rationalization involves creating logical explanations or justifications for behaviors, thoughts, or feelings that are otherwise unacceptable. In this case, the client is using rationalization to avoid facing the uncomfortable reality of their dissociative symptoms.
Incorrect choices:
A: Suppression involves consciously avoiding or pushing away thoughts or feelings. This does not apply to the client's situation.
B: Sublimation involves channeling unacceptable impulses into more socially acceptable behaviors. This is not demonstrated in the client's statement.
C: Projection involves attributing one's own thoughts or feelings to others. This is not evident in the client's statement.
Therefore, rationalization is the most appropriate defense mechanism being used by the client in this scenario.
Question 5 of 5
A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Let's discuss what you feel embarrassed about." This response shows empathy and encourages open communication, which is crucial in therapeutic relationships. By inviting the client to share their feelings, the nurse creates a safe space for the client to express themselves and address their concerns.
Choice A is incorrect because it generalizes the client's feelings without directly addressing their specific situation.
Choice C may come across as dismissive and invalidating the client's emotions.
Choice D is incorrect as it assumes that sharing the secret will automatically make the client feel better without considering the potential consequences.