ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Clients with Alzheimer's benefit from structured routines and step-by-step guidance.
Question 2 of 5
A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: A, D
Rationale: Moderate anxiety is associated with physical restlessness, rapid speech, and increased urinary frequency.
Question 3 of 5
A nurse is planning care for a client who demonstrates manipulative behavior. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Set clear and consistent limits on manipulative behaviors. This is important because setting boundaries helps maintain a therapeutic relationship and ensures the client understands what is acceptable. Allowing manipulation (choice
A) enables the behavior to continue and does not address the underlying issue. Avoiding discussing past behaviors (choice
B) may hinder the client's progress in understanding and changing their behavior. Bargaining with the client (choice
C) can reinforce manipulative behavior and undermine the nurse's authority. Setting clear and consistent limits (choice
D) establishes expectations and promotes accountability, leading to more effective interventions and improved client outcomes.
Question 4 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: The correct answer is C: Ideas of reference. This behavior is characteristic of ideas of reference in schizophrenia, where individuals believe that others are talking about them or making fun of them. In this scenario, the client's perception is distorted, leading them to misinterpret the group's laughter as directed towards them. This is not magical thinking (
A), which involves believing in irrational connections between actions and events. It is also not delusions of grandeur (
B), which involve an exaggerated sense of self-importance. Additionally, it is not looseness of association (
D), which is characterized by disorganized thinking and speech patterns.
Question 5 of 5
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Correct Answer: C, E
Rationale: Negative symptoms of schizophrenia include anhedonia (inability to experience pleasure) and blunt affect (reduced emotional expression). Delusions and hallucinations are positive symptoms.