ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client’s dressing?
Correct Answer: B
Rationale:
Correct Answer: B - Perform the dressing change in a non-judgmental manner.
Rationale: This approach is essential in caring for clients with borderline personality disorder as it helps build trust and a therapeutic relationship. By being non-judgmental, the RN creates a safe environment for the client to feel comfortable and supported during the dressing change. This approach also helps reduce feelings of shame or guilt that the client may be experiencing, ultimately promoting healing and preventing further self-harm.
Other
Choices:
A: Providing detailed explanations may overwhelm the client and trigger distress.
C: Asking why the client self-harmed in a non-threatening manner may not be appropriate during a dressing change and could lead to discomfort.
D: Requesting another staff member may not address the client's emotional needs and could potentially reinforce feelings of isolation or rejection.
Question 2 of 5
Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Administer a medication such as benztropine IM to correct this dystonic reaction. The patient is exhibiting signs of acute dystonia, a side effect of haloperidol characterized by sustained muscle contractions. Benztropine is an anticholinergic medication that can help alleviate these symptoms quickly. Holding the medication (option
A) is not the priority as the immediate focus should be on managing the acute symptoms. Wiping with cold water or alcohol (option
B) may provide temporary relief but does not address the underlying issue. Reassuring the patient about tardive dyskinesia (option
D) is not relevant at this point as the priority is to address the acute dystonic reaction.
Question 3 of 5
Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
Correct Answer: D
Rationale: The correct answer is D:
To have a less positive outcome. Gilbert's symptoms of odd behavior, academic decline, social withdrawal, and obsession with locks indicate a significant impact on his daily functioning, suggesting severe impairment. Schizophrenia typically has a chronic course with fluctuating symptoms and poor functional outcomes, especially when onset is early and symptoms are persistent. While medication and psychosocial interventions can help manage symptoms, the early and slow onset of schizophrenia in Gilbert suggests a more challenging prognosis.
Choices A and C are incorrect because they imply a more optimistic outlook that may not align with the severity of Gilbert's symptoms.
Choice B is incorrect as Gilbert's symptoms indicate more than just a relapse stage.
Question 4 of 5
While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client’s behaviors. What is the main goal of this therapeutic technique?
Correct Answer: C
Rationale: The main goal of the therapeutic technique in this scenario is to allow the client to identify the way he interacts. By mirroring the client's behaviors, the RN provides an opportunity for the client to witness his own actions and communication style. This reflection can help the client gain self-awareness and insight into how he presents himself to others. It can also serve as a starting point for discussions on potential areas for growth and change in his communication patterns.
A: Initiating a non-threatening conversation with the client is not the main goal here, as the focus is on reflection and self-awareness.
B: Dialoguing about the ineffectiveness of his interactions is not the primary purpose at this stage; the emphasis is on self-identification.
D: Discussing the client's feelings when he responds is not the main objective; the focus is on the client's behavior and communication style.
Question 5 of 5
Which activity is most appropriate for a child with ADHD?
Correct Answer: D
Rationale: The correct answer is D: Tennis. Physical activities like tennis can help children with ADHD by allowing them to release excess energy and improve focus through movement. Tennis also promotes social interaction, teaches impulse control, and enhances coordination skills. Reading (
A) may be challenging for a child with ADHD due to difficulties in sustained attention. Monopoly (
B) requires long periods of focus, which may be challenging for a child with ADHD. Checkers (
C) involves strategic thinking but may not provide enough physical activity.