ATI RN
ATI Mental Health Proctored Exam 2019
1. A client with borderline personality disorder exhibits self-mutilating behavior. Which nursing intervention should the nurse implement to address this behavior?
- A. Encourage the client to discuss underlying issues.
- B. Set firm limits on the client's behavior.
- C. Provide a safe environment to prevent self-harm.
- D. Discuss the consequences of self-mutilating behavior.
Correct answer: C
Rationale: The correct intervention when dealing with a client exhibiting self-mutilating behavior, especially with borderline personality disorder, is to provide a safe environment to prevent self-harm. This approach is crucial in ensuring the client's physical safety and well-being. Setting firm limits may be appropriate in some situations, but the immediate priority is to prevent self-harm. Encouraging the client to discuss underlying issues and discussing consequences are important aspects of therapy; however, in the case of acute self-mutilating behavior, the primary focus should be on creating a safe environment to prevent harm.
2. A client with bipolar disorder is prescribed lithium. Which of the following statements by the client indicates a need for further teaching?
- A. I should maintain a consistent salt intake.
- B. I should drink 6-8 glasses of water daily.
- C. I need to have my lithium levels checked regularly.
- D. I can stop taking my medication once my mood stabilizes.
Correct answer: D
Rationale: The statement "I can stop taking my medication once my mood stabilizes" indicates a need for further teaching. Clients should continue taking their medication as prescribed and have regular monitoring of lithium levels.
3. A client is diagnosed with obsessive-compulsive disorder (OCD), and a nurse is planning care. Which of the following interventions should the nurse exclude from the care plan?
- A. Allowing the client to perform rituals initially
- B. Discouraging the client from washing their hands
- C. Monitoring for suicidal ideation
- D. Providing a structured schedule of activities
Correct answer: C
Rationale: The correct answer is monitoring for suicidal ideation. When caring for a client with OCD, interventions should include allowing the client to perform rituals initially, setting limits on the time allowed for rituals, encouraging the client to verbalize feelings, and providing a structured schedule of activities. Monitoring for suicidal ideation is crucial in assessing the client's safety and mental health status, but it is not a direct intervention specific to managing OCD symptoms.
4. When assessing a client diagnosed with anorexia nervosa, which of the following findings should the nurse expect? Select one that does not apply.
- A. Amenorrhea
- B. Lanugo
- C. Hypotension
- D. Hyperkalemia
Correct answer: D
Rationale: In a client diagnosed with anorexia nervosa, expected findings include amenorrhea, lanugo, hypotension, and bradycardia. Hyperkalemia is not typically associated with anorexia nervosa; instead, hypokalemia, which is low potassium levels, is more common. Hypokalemia can result from decreased intake of potassium-rich foods or excessive purging behaviors commonly seen in individuals with anorexia nervosa.
5. Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?
- A. Tricyclic antidepressants
- B. Selective serotonin reuptake inhibitors
- C. Serotonin and norepinephrine reuptake inhibitors
- D. Monoamine oxidase inhibitors
Correct answer: D
Rationale: Monoamine oxidase inhibitors dispensed as transdermal patches can be a safer option for patients with mild hypertension due to reduced systemic absorption compared to other forms of antidepressants, potentially minimizing cardiovascular effects associated with hypertension.
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