ATI RN Mental Health 2023 III

Extract:

Question 1 of 5

A nurse is receiving 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?

A. A client who has narcissistic personality disorderB. A client who has mild anxiety disorderC. A client who has severe obsessive-compulsive disorderD. A client who has conversion disorder

Correct Answer: D

Rationale: Conversion disorder may present sensory deficits (e.g., blindness), needing assessment. NPD, anxiety, and OCD lack sensory focus.

Question 2 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?

A. Encourage the client to attend weekly support group meetingsB. Implement measures to prevent intentional self-inflicted injuryC. Assist the client to maintain awareness of her thoughts and feelingsD. Discuss the appropriate use of assertive behavior with the client

Correct Answer: B

Rationale: Preventing self-harm is the priority in BPD due to impulsivity risks. Groups, awareness, and assertiveness are secondary.

Question 3 of 5

A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

A. Improvement in manifestations of borderline personality disorderB. Reduced frequency of seizuresC. Improvement in manifestations of depressionD. Decreased fear of heights

Correct Answer: C

Rationale: ECT targets depression, with efficacy shown by mood improvement. BPD, seizures, and phobias aren’t primary goals.

Question 4 of 5

A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?

A. Have you noticed an increase in thirst?B. Have you noticed unintentional weight loss?C. Have you noticed a ringing in your ears?D. Have you noticed that your taste has decreased?

Correct Answer: A

Rationale: Thirst flags hyperglycemia, an olanzapine risk. Weight loss isn’t typical, tinnitus or taste loss aren’t linked.

Question 5 of 5

A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)

A. Speak to the client in a loud voiceB. Stand directly in front of the clientC. Request that security guards restrain the clientD. Talk to the client using short, simple sentencesE. Identify the client's stressors

Correct Answer: D, E

Rationale: Short sentences (
D) and identifying stressors (E) de-escalate safely. Loud voice, direct stance, and restraints escalate without need.

ATI RN Mental Health 2023 III | Nurselytic

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ATI RN

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