Page 1 of 486
RN ATI MENTAL HEALTH PROCTORED EXAM WITH
NGN - ALL 14 VERSIONS
Chapter 20 Somatic Symptom and Related Disorders
A nurse manager is discussing the care of a client who has a personality disorder with a newly
licensed nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
A. "I can promote my client's sense of control by establishing a schedule."
B. "I should encourage clients who have a schizoid personality disorder to increase
socialization."
C. "I should practice limit-setting to help prevent client manipulation."
D. "I should implement assertiveness training with clients who have antisocial personality
disorder." - ANSWER>>C. When caring for a client who has a personality disorder, limit-setting
is appropriate to help prevent client manipulation.
Chapter 16 Personality Disorders
A nurse is caring for a client who has avoidant personality disorder.
Which of the following statements is expected from a client who has this type of personality
disorder?
A. "I'm scared that you're going to leave me."
B. "I'll go to group therapy if you'll let me smoke."
C. "I need to feel that everyone admires me."
D. "I sometimes feel better if I cut myself." - ANSWER>>A. Clients who have avoidant
personality disorder often have a fear of abandonment. This type of statement is expected.
Chapter 16 Personality Disorders
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse
on the evening shift is always nice! You are the meanest nurse ever!" The nurse should
recognize the client's statement as an example of which of the following defense mechanisms?
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A. Regression
B. Splitting
C. Undoing
D. Identification - ANSWER>>B. Splitting occurs when a person is unable to see both positive
and negative qualities at the same time. The client who has borderline personality disorder
tends to see a person as all bad one time and all good another time.
Chapter 16 Personality Disorders
A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality
disorder. Which of the following findings should the nurse expect?
(Select all that apply.)
A. Demonstrates extreme anxiety when placed in a social situation
B. Has difficulty making even simple decisions
C. Attempts to convince other clients to give him their belongings
D. Becomes agitated if his personal area is not neat and orderly
E. Blames others for his past and current problems - ANSWER>>C. Exploitation and
manipulation of others is an expected finding of antisocial personality disorder.
E. Failure to accept personal responsibility is an expected finding of clients who have antisocial
personality disorder.
Chapter 16 Personality Disorders
A charge nurse is preparing a staff education session on personality disorders. Which of the
following personality characteristics associated with all of the personality disorders should the
charge nurse include in the teaching?
(Select all that apply.)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
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E. Difficulty understanding why it is inappropriate to have a personal relationship with staff -
ANSWER>>A. Difficulty with social and professional relationships is a personality characteristic
that can be seen with all personality disorder types.
C. Maladaptive response to stress is a personality characteristic that can be seen with all
personality disorder types.
E. Difficulty understanding personal boundaries is a personality characteristic that can be seen
with all personality disorder types.
Chapter 16 Personality Disorders
A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of
the following statements by the client indicates an understanding of the teaching?
A. "While taking this medication, I'll need to stay out of the sun to avoid a skin rash."
B. "I may feel drowsy for a few weeks after starting this medication."
C. "I cannot eat my favorite pizza with pepperoni while taking this medication."
D. "This medication will help me lose the weight that I have gained over the last year." -
ANSWER>>B. Sedation is an adverse effect of amitriptyline during the first few weeks of
therapy.
Chapter 22 Medications for Depressive Disorders
A nurse is caring for a client who is taking phenelzine For which of the following adverse effects
should the nurse monitor?
(Select all that apply.)
A. Elevated blood glucose level
B. Orthostatic hypotension
C. Priapism
D. Headache
E. Bruxism - ANSWER>>B. The nurse should observe for orthostatic hypotension, which is an
adverse effect of phenelzine.
D. The nurse should observe for a headache which is an adverse effect of phenelzine.
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Chapter 22 Medications for Depressive Disorders
A nurse is reviewing the medical record of a client who has a new prescription for bupropion for
depression. Which of the following findings is the priority for the nurse to report to the
provider?
A. The client has a family history of seasonal pattern depression.
B. The client currently smokes 1.5 packs of cigarettes per day.
C. The client had a motor vehicle crash last year and sustained a head injury.
D. The client has a BMI of 25 and has gained 10 lb over the last year. - ANSWER>>C. The
greatest risk to the client is development of seizures. Bupropion can lower the seizure threshold
and should be avoided by clients who have a history of a head injury. This information is the
highest priority to report to the provider.
Chapter 22 Medications for Depressive Disorders
A nurse is teaching a client who has a new prescription for imipramine how to minimize
anticholinergic effects. Which of the following instructions should the nurse include in the
teaching?
(Select all that apply.)
A. Void just before taking the medication.
B. Increase the dietary intake of potassium.
C. Wear sunglasses when outside.
D. Change positions slowly when getting up.
E. Chew sugarless gum. - ANSWER>>A. Voiding just before taking the medication will help
minimize the anticholinergic effects of urinary hesitancy or retention.
C. Wearing sunglasses when outside will help minimize the anticholinergic effect of
photophobia.
E. Chewing sugarless gum will help minimize the anticholinergic effect of dry mouth.
Chapter 22 Medications for Depressive Disorders
A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates understanding?
4
RN ATI MENTAL HEALTH PROCTORED EXAM WITH
NGN - ALL 14 VERSIONS
Chapter 20 Somatic Symptom and Related Disorders
A nurse manager is discussing the care of a client who has a personality disorder with a newly
licensed nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
A. "I can promote my client's sense of control by establishing a schedule."
B. "I should encourage clients who have a schizoid personality disorder to increase
socialization."
C. "I should practice limit-setting to help prevent client manipulation."
D. "I should implement assertiveness training with clients who have antisocial personality
disorder." - ANSWER>>C. When caring for a client who has a personality disorder, limit-setting
is appropriate to help prevent client manipulation.
Chapter 16 Personality Disorders
A nurse is caring for a client who has avoidant personality disorder.
Which of the following statements is expected from a client who has this type of personality
disorder?
A. "I'm scared that you're going to leave me."
B. "I'll go to group therapy if you'll let me smoke."
C. "I need to feel that everyone admires me."
D. "I sometimes feel better if I cut myself." - ANSWER>>A. Clients who have avoidant
personality disorder often have a fear of abandonment. This type of statement is expected.
Chapter 16 Personality Disorders
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse
on the evening shift is always nice! You are the meanest nurse ever!" The nurse should
recognize the client's statement as an example of which of the following defense mechanisms?
1
,Page 2 of 486
A. Regression
B. Splitting
C. Undoing
D. Identification - ANSWER>>B. Splitting occurs when a person is unable to see both positive
and negative qualities at the same time. The client who has borderline personality disorder
tends to see a person as all bad one time and all good another time.
Chapter 16 Personality Disorders
A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality
disorder. Which of the following findings should the nurse expect?
(Select all that apply.)
A. Demonstrates extreme anxiety when placed in a social situation
B. Has difficulty making even simple decisions
C. Attempts to convince other clients to give him their belongings
D. Becomes agitated if his personal area is not neat and orderly
E. Blames others for his past and current problems - ANSWER>>C. Exploitation and
manipulation of others is an expected finding of antisocial personality disorder.
E. Failure to accept personal responsibility is an expected finding of clients who have antisocial
personality disorder.
Chapter 16 Personality Disorders
A charge nurse is preparing a staff education session on personality disorders. Which of the
following personality characteristics associated with all of the personality disorders should the
charge nurse include in the teaching?
(Select all that apply.)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
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,Page 3 of 486
E. Difficulty understanding why it is inappropriate to have a personal relationship with staff -
ANSWER>>A. Difficulty with social and professional relationships is a personality characteristic
that can be seen with all personality disorder types.
C. Maladaptive response to stress is a personality characteristic that can be seen with all
personality disorder types.
E. Difficulty understanding personal boundaries is a personality characteristic that can be seen
with all personality disorder types.
Chapter 16 Personality Disorders
A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of
the following statements by the client indicates an understanding of the teaching?
A. "While taking this medication, I'll need to stay out of the sun to avoid a skin rash."
B. "I may feel drowsy for a few weeks after starting this medication."
C. "I cannot eat my favorite pizza with pepperoni while taking this medication."
D. "This medication will help me lose the weight that I have gained over the last year." -
ANSWER>>B. Sedation is an adverse effect of amitriptyline during the first few weeks of
therapy.
Chapter 22 Medications for Depressive Disorders
A nurse is caring for a client who is taking phenelzine For which of the following adverse effects
should the nurse monitor?
(Select all that apply.)
A. Elevated blood glucose level
B. Orthostatic hypotension
C. Priapism
D. Headache
E. Bruxism - ANSWER>>B. The nurse should observe for orthostatic hypotension, which is an
adverse effect of phenelzine.
D. The nurse should observe for a headache which is an adverse effect of phenelzine.
3
, Page 4 of 486
Chapter 22 Medications for Depressive Disorders
A nurse is reviewing the medical record of a client who has a new prescription for bupropion for
depression. Which of the following findings is the priority for the nurse to report to the
provider?
A. The client has a family history of seasonal pattern depression.
B. The client currently smokes 1.5 packs of cigarettes per day.
C. The client had a motor vehicle crash last year and sustained a head injury.
D. The client has a BMI of 25 and has gained 10 lb over the last year. - ANSWER>>C. The
greatest risk to the client is development of seizures. Bupropion can lower the seizure threshold
and should be avoided by clients who have a history of a head injury. This information is the
highest priority to report to the provider.
Chapter 22 Medications for Depressive Disorders
A nurse is teaching a client who has a new prescription for imipramine how to minimize
anticholinergic effects. Which of the following instructions should the nurse include in the
teaching?
(Select all that apply.)
A. Void just before taking the medication.
B. Increase the dietary intake of potassium.
C. Wear sunglasses when outside.
D. Change positions slowly when getting up.
E. Chew sugarless gum. - ANSWER>>A. Voiding just before taking the medication will help
minimize the anticholinergic effects of urinary hesitancy or retention.
C. Wearing sunglasses when outside will help minimize the anticholinergic effect of
photophobia.
E. Chewing sugarless gum will help minimize the anticholinergic effect of dry mouth.
Chapter 22 Medications for Depressive Disorders
A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates understanding?
4
