ATI Mental Health Exam Complete Set | Questions and Answers with Rationales (Verified Answers)

ATI Mental Health Exam Complete Set | Questions and Answers with Rationales (Verified Answers) Q: A nurse is assisting with the preparation of a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the nurse include? (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 E. Difficulty understanding why it is inappropriate to have a personal relationship with staff Answer: 1. Difficulty in getting along with other members of a group 2. Display of defense mechanisms when routines are changed 3. Difficulty understanding why it is inappropriate to have a personal relationship with staff *Difficulty with social and professional relationships is a personality characteristic that can be seen with all personality disorder types *Maladaptive responses to stress is a personality characteristic that can be seen in clients who has experiencing personality disorders *Difficulty understanding personal boundaries is a personality characteristic that can be seen with all personality disorder types *Clients who have schizotypal personality disorder can display magical thinking or delusions. However, this is not associated with all personality disorder types *Clients who have narcissistic personality disorder can display gradiose thinking. However, this is not associated with all personality disorder types Q: Ch 17: Neurocognitive Disorders Answer: Q: A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A. "You should avoid taking over-the-counter acetaminophen while on donezepil." B. "You should take this medication before going to bed at the end of the day." C. "You will be screened for underlying kidney disease prior to starting donezepil." D. You should stop takine donezepil if you experience nausea or diarrhea." Answer: "You should take this medication before going to bed at the end of the day." *Clients should take donezepil at the end of the day, just before going to bed, with or without food. *Clients taking donepezil should avoid NSAIDs, rather than acetaminophen, due to risk for gastrointestinal bleeding *Clients should be screened for underlying heart and pulmonary disease, rather than kidney disease *Gastrointestinal adverse effects are common with donepezil and can result in a dosage reduction Q: A nurse in a long-term care facility is caring for a client who has major neurocognitive disorder and attempts to wander out of the building. The client states, "I have to get home." Which of the following statements should the nurse make? A. "You have forgotten that this is your home." B. "You cannot go outside without a staff member." C. "Why would you want to leave? Aren't you happy with your care?" D. "I am your nurse. Let's walk together to your room." Answer: "I am your nurse. Let's walk together to your room." *It is inappropriate to introduce oneself with each new interaction and to promote reality in a calm, reassuring manner *Avoid statements that can be interpreted as argumentative or demeaning *Use positive, rather than negative, statements *Using a "why" question can promote a defensive reaction and does not reinforce reality Q: A nurse is reinforcing discharge teaching with the partner of a client who has Alzheimer's disease about home safety. Which of the following instructions should the nurse give to the partner to decrease the client's risk for injury? (select all that apply) A. Install extra locks at the top of exit doors B. Place rugs over electrical cords C. Put cleaning supplies on the top of a shelf D. Place the client's mattress on the floor E. Install light fixtures above stairs Answer: 1. Install extra locks at the top of exit doors 2. Place the client's mattress on the floor 3. Install light fixtures above stairs *Placing door locks up high where they are difficult to reach can prevent exiting the home and wandering outside *Placing the client's mattress on the floor reduces the risk for falls out of bed *Stairs should have adequate lighting to reduce the risk for falls *Rugs create a fall risk hazard and should be removed. Electrical cords should be secured to baseboards rather than covered *Cleaning supplies with colored tape does not prevent the client's access to hazardous materials Q: A nurse is discussing home care with the partner of a client who is in the late stage of Alzheimer's disease. The partner, who wil be the primary caregiver, wishes to discuss concerns about the client's nutrition and the stress of providing care. Which of the following actions should the nurse take? A. Verify that a current power of attorney document is on file B. Instruct the client's partner to offer finger foods to increase oral intake C. Provide information on resources for respite care D. Schedule the client for placement of an enteral feeding tube Answer: Provide information on resources for respite care *Providing information on resources for respite care is a correct action to provide the client's partner with a break from caregiving responsibilities *A power of attorney document does not address the client's care or the concerns of the caregiver *Clients in late-stage Alzheimer's disease are at risk for choking and are unable to eat without assistance. Offering finger foods is not a correct action *Placement of an enteral feeding tube is correct only with a prescription from the provider following a discussion that includes the provider, nurse, client's partner, and possibly social services and additional family members Q: A nurse is collecting data for a client who has delirium related to an acute urinary tract infection. Which of the following findings should the nurse expect? (select all that apply) A. History of gradual memory loss B. Family report of personality changes C. Hallucinations D. Unaltered level of consciousness E. Restlessness Answer: 1. Family report of personality changes 2. Hallucinations 3. Restlessness *The client who has delirium can experience rapid personality changes *The client who has delirium can have perceptual disturbances (hallucinations and illusions) *The client who has delirium commonly exhibits restlessness and agitation *The client who has delirium can experience memory loss with sudden rather than gradual onset *The client who has delirium is expected to have an altered level of consciousness that can rapidly fluctuate Q: Ch 18: Substance Abuse and Addictive Disorders Answer: Q: A nurse is assisting with a staff education program on substance use in older adults. Which of the following information should the nurse to include in the presentation? A. Older adults require higher doses of a substance to achieve a desired effect B. Older adults commonly use rationalization to cope with a substance use disorder C. Older adults are at an increased risk for substance use following retirement D. Older adults develop substance use to mask manifestations of dementia Answer: Older adults are at an increased risk for substance use following retirement *Requirement and other life change stressors increase the risk for substance use in older adults, especially if there is a prior history of substance use *Requiring higher doses of a substance to achieve a desired effect is a result of the length and severity of substance use rather than age *Denial, rather than rationalization, is a defense mechanism commonly used by substance users of all ages *Substance use in the older adult can result in manifestations of dementia Q: A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply) A. Bradycardia B. Fine tremors of both hands C. Hypotension D. Vomiting E. Restlessness Answer: 1. Fine tremors of both hands 2. Vomiting 3. Restlessness *An expected finding of alcohol withdrawal is tachycardia rather than bradycardia *An expected finding of alcohol withdrawal is hypertension rather than hypotension Q: A nurse is contributing to the plan of care of a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority? A. Orient the client frequently to time, place, and person B. Offer fluids and nourishing diet as tolerated C. Implement seizure precautions D. Encourage participation in group therapy sessions Answer: Implement seizure precautions *The greatest risk to the client is injury. Implementing seizure precautions is the priority intervention *The other 3 are appropriate interventions but are not the highest priority Q: A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A. Chlordiazepoxide B. Buproprion C. Disulfiram D. Carbamazepine Answer: Disulfiram *Expect to administer disulfiram to help the client maintain abstinence from alcohol *Chlordiazepoxide is indicated for acute alcohol withdrawal rather than to maintain abstinence from alcohol *Buproprion is indicated for nicotine withdrawal rather than to maintain abstinence from alcohol *Carbamazepine is indicated for acute alcohol withdrawal rather than to maintain abstinence from alcohol Q: A nurse is reinforcing teaching with the family of a client who has a substance use disorder. Which of the following statements by a family member indicates an understanding of the instruction? (Select all that apply) A. "We need to understand that our sibling is responsible for their disorder." B. "Eliminating codependent behavior will promote recovery." C. "Our sibling should participate in an Al-Anon group to assist with recovery." D. "The primary goal of treatment is abstinence from substance use." E. "Our sibling needs to discuss personal feelings about substance use to help with recovery." Answer: 1. "Eliminating codependent behavior will promote recovery." 2. "The primary goal of treatment is abstinence from substance use." 3. "Our sibling needs to discuss personal feelings about substance use to help with recovery." *Families should be aware of codependent behavior (enabling) that can promote substance use rather than recovery *Abstinence is the primary treatment goal for a client who has a substance use disorder *Clients must acknowledge their feelings about substance use as part of a substance use recovery program *Clients are not responsible for their disease but are responsible for their recovery *Al-Anon is a recovery group for the familu of a client, rahter than the client who has a substance use disorder