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ATI PN MENTAL HEALTH EXIT EXAM COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
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?
“I can promote my client’s sense of control by establishing a schedule.”
“I should encourage clients who have a schizoid personality disorder to
increase socialization.”
“I should practice limit-setting to help prevent client manipulation.”
“I should implement assertiveness training with clients who have
antisocialpersonality disorder.”
A nurse is caring for a client who has avoidant personality disorder. Which of the
followingstatements is expected from a client who has this type of personality
disorder?
“I’m scared that you’re going to leave me.”
“I’ll go to group therapy if you’ll let me
smoke.”“I need to feel that everyone admires
me.”
“I sometimes feel better if I cut myself.”
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 shouldrecognize the client’s statement as an example of which of the following
defense mechanisms?
Regression
.
Splitting.
Undoing.
Identificatio
n.
A nurse is assisting with a court-ordered evaluation of a client who has antisocial
personalitydisorder. Which of the following findings should the nurse expect? (Select
all that apply.)
Demonstrates extreme anxiety when placed in a social
situation.Has difficulty making even simple decisions.
Attempts to convince other clients to give him their
belongings.Becomes agitated if his personal area is not neat
and orderly.
Blames others for his past and current problems.
A charge nurse is preparing a staff education session on personality disorders. Which
of thefollowing personality characteristics associated with all of the personality
disorders should the charge nurse include in the teaching?
Difficulty in getting along with other members of a group
Belief in the ability to become invisible during times of
stress.
Display of defense mechanisms when routines are changed.
Claiming to be more important than other persons.
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, 11/17/23, 5:33 PM ATI Mental Health - 2023 QUESTIONS AND CORRECT VERIFIED ANSW…
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Difficulty understanding why it is inappropriate to have a personal
relationship withstaff.
A nurse working in a mental health clinic is providing teaching to a client who has
a newprescription for diazepam for generalized anxiety disorder. Which of the
following information should the nurse provide?
Three to six weeks of treatment is required to achieve therapeutic
benefit. Combining alcohol with diazepam will produce a paradoxical
response. Diazepam has a lower risk for dependence than other
antianxiety medications.Report confusion as a potential indication of
toxicity.
A nurse working in an emergency department is caring for a client who has
benzodiazepinetoxicity due to an overdose. Which of the following actions is the
nurse’s priority?
Administer flumazenil.
Identify the client’s level of
orientation.Infuse IV fluids.
Prepare the client for gastric lavage.
A nurse is caring for a client who is to begin taking fluoxetine for treatment of
generalized anxiety disorder. Which of the following statements indicates the client
understands the useof this medication?
“I will take the medication at bedtime.”
“I will follow a low-sodium diet while taking this
medication.”“I will need to discontinue this medication
slowly.”
“I will be at risk for weight loss with long-term use of this medication.”
A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine. Which
of thefollowing findings should the nurse report to the provider as indications of
serotonin syndrome? (Select all that apply.)
Hypothermia.
Hallucinations.
Muscular
flaccidity.
Diaphoresis.
Agitation.
A nurse is caring for a client who takes paroxetine to treat posttraumatic stress
disorder. Theclient states that he grinds his teeth during the night, which causes pain
in his mouth. The nurse should identify which of the following interventions as
possible measures to manages the client’s bruxism? (Select all that apply.)
Concurrent administration of buspirone.
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