Extract:

Question 1 of 5

During a group therapy session, a nurse observes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the use of maladaptive coping mechanisms?

A. I mentally separate myself from distractions around me when I paint on canvas.'B. I wrote a short story about a heroic woman when I was really mad at my boss.'C. I still cannot remember the scene of my husband’s car accident.'D. I don’t care about work anymore since I was not given a promotion.'

Correct Answer: D

Rationale: Disengagement (
D) shows withdrawal, a maladaptive cope. Separation (
A) is adaptive, story (
B) sublimation, and memory (
C) dissociation.

Question 2 of 5

A nurse is conversing with a client diagnosed with schizophrenia. Suddenly, the client expresses fear, stating, 'I’m scared. Can you hear that? The voices are instructing me to do awful things.' Which of the following responses from the nurse would be suitable?

A. Why do you believe you are hearing voices?B. What are the voices instructing you to do?C. You need to comprehend that there are no voices.D. Are the voices familiar to you?

Correct Answer: B

Rationale: Asking what the voices say (
B) assesses potential harm and validates experience. Why (
A) challenges, denying voices (
C) dismisses, and familiarity (
D) is secondary to safety.

Question 3 of 5

A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching?

A. I will contact my provider if I have difficulty urinating.'B. I might notice an increased frequency of my menstrual cycle.'C. These medications might cause breast tissue to atrophy.'D. I am at a decreased risk for infection while taking these medications.'

Correct Answer: A

Rationale: Chlorpromazine’s anticholinergic effects can cause urinary retention, requiring prompt reporting (
A). Menstrual changes (
B), breast atrophy (
C), and reduced infection risk (
D) are not typical effects.

Question 4 of 5

A nurse is collecting data from a middle-aged client whose partner died seven months ago. Which of the following findings indicate that the client is experiencing maladaptive grieving?

A. The client has lost 10 lb.B. The client visits his partner's grave each month.C. The client has been unable to return to work.D. The client has difficulty sleeping

Correct Answer: C

Rationale: Inability to return to work (
C) suggests severe functional impairment. Weight loss (
A) and sleep issues (
D) are common, and grave visits (
B) are normal grieving.

Question 5 of 5

A nurse is reinforcing teaching with a client about a new prescription for lithium. Which of the following statements should the nurse include in the teaching?

A. Your provider will prescribe a diuretic while you are taking lithium.B. Weight gain is a manifestation of lithium toxicity.C. We will need to check your lithium levels in the next 3 to 5 days.D. Your lithium will be discontinued in 6 months to prevent addiction.

Correct Answer: C

Rationale: Checking lithium levels in 3-5 days (
C) ensures therapeutic range due to its narrow index. Diuretics (
A) aren’t routine, weight gain (
B) isn’t toxicity, and discontinuation (
D) isn’t standard.

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ATI PN Mental Health Chamberlain 2023 Questions

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