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 antisocial personality disorder.” 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? “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 admiresme.” “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 should recognize 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 personality disorder. Which of the following findings should the nurse expect? (Selectall 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 neatand orderly. Blames others for his past and current problems. 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? 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 OOMMooAARRccPPSSDD| | Difficulty understanding why it is inappropriate to have a personal relationship with staff. A nurse working in a mental health clinic is providing teaching to a client who has a new prescription 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.