ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?
Correct Answer: D
Rationale: Conveying an accepting attitude involves demonstrating empathy, respect, and nonjudgmental acceptance of the client as they are. Clients with BPD often have a fear of rejection and abandonment, so feeling accepted and understood by the nurse is critical for building trust.
Question 2 of 5
When doing an admission assessment of a client with a history of alcoholism, the most important factor(s) to assess is/are:
Correct Answer: B,C,D
Rationale: B. Knowing whether they have sought treatment previously can help in understanding their treatment history, what interventions have been tried, and their level of engagement with treatment services. It can also indicate whether they might benefit from continuing with previous successful interventions or trying new approaches. C. This information provides crucial information about the client's current alcohol use and potential withdrawal risks. Understanding when the client last consumed alcohol helps in assessing the severity of their alcohol dependence, the potential for withdrawal symptoms, and the urgency of intervention. D. Understanding the client's coping skills helps in developing a comprehensive treatment plan tailored to their needs. Clients with effective coping skills may have a better prognosis and be more receptive to certain treatment approaches, while those lacking coping skills may require additional support and skill-building interventions. A. Track marks typically refer to visible signs of intravenous drug use, often associated with substances like heroin. While individuals with alcoholism may have comorbid substance use disorders, track marks specifically indicate a history of intravenous drug use, not alcoholism.
Question 3 of 5
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?
Correct Answer: B
Rationale: Individuals with this disorder often have an exaggerated sense of their own importance, achievements, talents, and capabilities. They may believe they are special or unique and expect to be recognized as such without commensurate achievements.
Question 4 of 5
The nurse is educating clients about recovery from alcohol abuse. Which statement indicates that learning has occurred?
Correct Answer: B
Rationale: It acknowledges that recovery is not a quick fix or a one-time event but rather a lifelong journey that involves ongoing effort, self-awareness, and personal growth. Recognizing that recovery occurs in steps suggests an understanding of the incremental progress and challenges that may be encountered along the way.
Question 5 of 5
A client has been taking oxycodone for pain. The client has returned three times for refills of the prescription. In addition to slurred speech, which assessment leads the nurse to suspect opioid intoxication?
Correct Answer: C
Rationale: Constricted pupils, also known as miosis, are a classic sign of opioid intoxication. Opioids act on opioid receptors in the brainstem, which can lead to pupillary constriction.