ATI RN MENTAL HEALTH WITH NGN 100%
PASS WITH RATIONALES LATEST UPDATES
QUESTION & ANSWERS
WITH RATIONALES
A nurse is caring for a group of patients. For which of the following situations should the nurse
complete an incident report? - ANS - A client was administered one-half of the prescribed dose of
medication
Rationale: An incident report is a recording of any occurrence that does not meet the standard of
care. The nurse should report medication errors using the facility's incident or occurrence form.
A nurse is caring for a group of patients. Which of the following findings is the nurse required to
report? - ANS - A client who has borderline personality disorder threatened to harm their
roommate
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied by threats
and other-directed violence. While it is important for the nurse to maintain the patients
confidentiality, when another individual might be in danger, the nurse is required by law to report
it to authorities.
A nurse is caring for a patient who has borderline personality disorder. Which of the following
goals is the priority when planning care for this patient?
a. The patient will take the prescribed medications as scheduled b. The patient will express feelings
of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy - ANS - c. The client will refrain from self-
mutilation
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the priority goal is
for the patient to refrain from self-mutilation
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is an
important goal. However, this is not the priority goal
b. Expressing feelings of frustration to acknowledge these feelings is an important goal.
However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is an important goal. However, this is
not the priority goal
,AAnurseAisAdiscussingAtheAhomeAcareAofAaApatientAwhoAhasAadvancedAAlzheimer'sAdisease.ATheApati
ent'sAcaregiverAisAplanningAtoAgoAoutAofAtownAforAseveralAdays.AWhichAofAtheAfollowingAresourcesAs
houldAtheAnurseArecommendedAtoAtheAcaregiver?
a. RespiteAcare
b. PartialAhospitalizationAc.AAdultAdayAcareAprogram
d.AGeropsychiatricAunitA-AANSA-Aa.ARespiteAcare
Rationale:ARespiteAcareAprogramsAallowAtheApatientAtoAstayAinAaAnursingAfacilityAforAaAsetAnumberAof
Adays,AallowingAtheAcaregiversAtoAgoAonAvacationAorAhaveAsomeAtimeAtoAthemselves
b. PartialAhospitalizationAprovidesAservicesAforAseveralAhoursAduringAtheAday,AbutAtheyAareAn
otAdesignedAtoAofferA24-
hrAcare.AAApatientAwithAadvancedAAlzheimer'sAdiseaseAisAunableAtoAsafelyAremainAatAhomeAunatte
nded
c. AdultAdayAcareAprogramsAcanAprovideAservicesAthroughoutAtheAdayAtoApatient'sAwithAAlzhei
mer'sAdisease,AallowingAtheAcaregiverAtheAabilityAtoAworkAorAhaveAaAbreak.ATheApatient'sAreturnAhom
eAinAtheAevening.AAApatientAwhoAhasAadvancedAAlzheimer'sAdiseaseAisAunableAtoAsafelyAremainAatAh
omeAunattended.
d. AAgeropsychiatricAunitAprovidesAcareAforApatientsArequiringAacuteApsychiatricAservicesAdueAt
oAsuddenAmentalAstatusAchanges,Apsychosis,AorAotherAmentalAhealthAservices.ATheseAservicesAareAid
ealAforApatientsAwhoAareAatAriskAofAharmingAthemselvesAorAothers
AAnurseAisAcaringAforAanAolderAadultApatientAwhoAhasAdementiaAandAhasAwanderedAintoAtheAdayAroo
mAlookingAforAtheirAdeceasedApartner.AWhichAofAtheAfollowingAactionsAshouldAtheAnurseAtake?
a. MoveAtheApatientAtoAaAroomAnearAtheAnurses'Astation
b. LimitAvisitorsAuntilAtheApatientAisAorientedAtoAtheAenvironmentAc.ATellAtheApatientAtheirApartn
erAisAdeceased
d.ATalkAwithAtheApatientAaboutAactivitiesAtheyAenjoyedAwithAtheirApartnerA-AANSA-
ATalkAwithAtheAApatientAaboutAactivitiesAtheyAenjoyedAwithAtheirApartner
Rationale:
TalkingAaboutApositiveAexperiencesAcanAhelpAdistractAtheApatientAfromAtheirAdisorientation
a. WhenAcaringAforAaApatientAwithAdementia,AavoidAplacingAthemAinAunfamiliarAsettingsAwhe
nApossible.
b. FamilyAmembersAshouldAbeAencouragedAtoAinteractAwithAtheApatientAregardlessAofAth
eApatient'sAstateAofAdementia
c. ConfrontationAshouldAnotAbeAusedAforAaAdisorientedApatient
AAnurseAisAadmittingAaApatientAwithAschizophreniaAtoAanAacuteAcareAsetting.AWhenAtheAnurseAques
tionsAtheApatientAregardingAtheirAadmission,AtheAclientAstates,A"I'mAred,AinAtheAhead,AandAI'm
, goingAtoAbed!"ATheAnurseAshouldAdocumentAtheAclient'sAspeechApatternAasAwhichAofAtheAfollowing?
a. ClangAassociationAb.AWordAsalad
c. Neologism
d. EcholaliaA-AANSA-Aa.AClangAassociation
Rationale:ATheAnurseAshouldAdocumentAthatAtheApatientsAspeechAusesAclangAassociationsAwhichAofte
nArhymeAorAcontainAaAstringAofAwordsAthatAcanAhaveAaAsimilarAsound
b. InAwordAsalad,AwordsAareAcompletelyAmeaninglessAandAdisorganized.Ac.ANeologismAconsistsA
ofAwordsAthatAareAmadeAupAbyAtheApatient
d.AInAecholalia,AtheApatientArepeatsAtheAwordsAofAanotherAperson
AAnurseAisAassessingAaApatientAwhoAhasAschizophrenia.AWhichAofAtheAfollowingAfindingsAshouldAthe
AnurseAdocumentAasAaAnegativeAsymptomAofAthisAdisorder?
a.ADelusionsAb.ANeologismsAc.AAnhedonia
d.AEchopraxiaA-AANSA-AAnhedonia
Rationale:
PositiveAsymptomsAofAschizophreniaAusuallyAappearAsuddenlyAandAareAalterationAinAbehavior,Aperc
eption,Aspeech,AandAthought.ADelusions,AinabilityAtoAthinkAabstractly,AneologismsA(madeAupAwords)
,AecholaliaA(repeatingAofAsomeoneAelse'sAwords,AmotorAagitation,AandAechopraxiaA(mimickingAsome
oneAelse'sAmovements)AareAallApositiveAsymptomsAofAschizophrenia.
NegativeAsymptomsAofAschizophreniaAaffectAaAperson'sAabilityAtoAinteractAwithAothersAandAareAle
ssAdominantAthanApositiveAsymptoms.ANegativeAsymptomsAdevelopAoverAtime.
ExamplesAofAnegativeAsymptomsAincludeAflatAaffect,AanergiaA(lackAofAenergy),AanhedoniaA(inabilit
yAtoAenjoyAotherwiseApleasurableAactivities),AandAthoughtAblockingA(inabilityAtoAthink,Aspeak,AorAm
oveAinAresponseAtoAoutsideAstimuli)
AAnurseAisAdelegatingApatientAcareAtasksAtoAaAlicensedApracticalAnurseA(LPN)AandAanAassistiveAperso
nnel.AWhichAofAtheAfollowingAtasksAshouldAtheAnurseAassignAtoAtheALPN?A-AANSA-
AChangeAtheAAdressingAofAaAclientAwhoAhasAborderlineApersonalityAdisorderAandAsuperficialAself-
inflictedAwounds
Rationale:AAApatientAwhoAhasAborderlineApersonalityAdisorderAisAatAriskAforAself-
mutilationAsuchAasAcutting,Aself-
inflictedAwounds,AscratchingAorApickingAatAwounds.AItAisAwithinAtheALPNsAscopeAofApracticeAtoAch
angeAtheAdressing,AcleanseAtheAwound,AandAcollectAdataAregardingAtheAhealingAofAtheAwound.
AAnurseAisAassessingAaAschool-
ageAchildAwhoAhasAconductAdisorder.AWhichAofAtheAfollowingAcharacteristicsAshouldAtheAnurseAexpe
ctAtheAchildAtoAdemonstrate?
PASS WITH RATIONALES LATEST UPDATES
QUESTION & ANSWERS
WITH RATIONALES
A nurse is caring for a group of patients. For which of the following situations should the nurse
complete an incident report? - ANS - A client was administered one-half of the prescribed dose of
medication
Rationale: An incident report is a recording of any occurrence that does not meet the standard of
care. The nurse should report medication errors using the facility's incident or occurrence form.
A nurse is caring for a group of patients. Which of the following findings is the nurse required to
report? - ANS - A client who has borderline personality disorder threatened to harm their
roommate
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied by threats
and other-directed violence. While it is important for the nurse to maintain the patients
confidentiality, when another individual might be in danger, the nurse is required by law to report
it to authorities.
A nurse is caring for a patient who has borderline personality disorder. Which of the following
goals is the priority when planning care for this patient?
a. The patient will take the prescribed medications as scheduled b. The patient will express feelings
of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy - ANS - c. The client will refrain from self-
mutilation
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the priority goal is
for the patient to refrain from self-mutilation
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is an
important goal. However, this is not the priority goal
b. Expressing feelings of frustration to acknowledge these feelings is an important goal.
However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is an important goal. However, this is
not the priority goal
,AAnurseAisAdiscussingAtheAhomeAcareAofAaApatientAwhoAhasAadvancedAAlzheimer'sAdisease.ATheApati
ent'sAcaregiverAisAplanningAtoAgoAoutAofAtownAforAseveralAdays.AWhichAofAtheAfollowingAresourcesAs
houldAtheAnurseArecommendedAtoAtheAcaregiver?
a. RespiteAcare
b. PartialAhospitalizationAc.AAdultAdayAcareAprogram
d.AGeropsychiatricAunitA-AANSA-Aa.ARespiteAcare
Rationale:ARespiteAcareAprogramsAallowAtheApatientAtoAstayAinAaAnursingAfacilityAforAaAsetAnumberAof
Adays,AallowingAtheAcaregiversAtoAgoAonAvacationAorAhaveAsomeAtimeAtoAthemselves
b. PartialAhospitalizationAprovidesAservicesAforAseveralAhoursAduringAtheAday,AbutAtheyAareAn
otAdesignedAtoAofferA24-
hrAcare.AAApatientAwithAadvancedAAlzheimer'sAdiseaseAisAunableAtoAsafelyAremainAatAhomeAunatte
nded
c. AdultAdayAcareAprogramsAcanAprovideAservicesAthroughoutAtheAdayAtoApatient'sAwithAAlzhei
mer'sAdisease,AallowingAtheAcaregiverAtheAabilityAtoAworkAorAhaveAaAbreak.ATheApatient'sAreturnAhom
eAinAtheAevening.AAApatientAwhoAhasAadvancedAAlzheimer'sAdiseaseAisAunableAtoAsafelyAremainAatAh
omeAunattended.
d. AAgeropsychiatricAunitAprovidesAcareAforApatientsArequiringAacuteApsychiatricAservicesAdueAt
oAsuddenAmentalAstatusAchanges,Apsychosis,AorAotherAmentalAhealthAservices.ATheseAservicesAareAid
ealAforApatientsAwhoAareAatAriskAofAharmingAthemselvesAorAothers
AAnurseAisAcaringAforAanAolderAadultApatientAwhoAhasAdementiaAandAhasAwanderedAintoAtheAdayAroo
mAlookingAforAtheirAdeceasedApartner.AWhichAofAtheAfollowingAactionsAshouldAtheAnurseAtake?
a. MoveAtheApatientAtoAaAroomAnearAtheAnurses'Astation
b. LimitAvisitorsAuntilAtheApatientAisAorientedAtoAtheAenvironmentAc.ATellAtheApatientAtheirApartn
erAisAdeceased
d.ATalkAwithAtheApatientAaboutAactivitiesAtheyAenjoyedAwithAtheirApartnerA-AANSA-
ATalkAwithAtheAApatientAaboutAactivitiesAtheyAenjoyedAwithAtheirApartner
Rationale:
TalkingAaboutApositiveAexperiencesAcanAhelpAdistractAtheApatientAfromAtheirAdisorientation
a. WhenAcaringAforAaApatientAwithAdementia,AavoidAplacingAthemAinAunfamiliarAsettingsAwhe
nApossible.
b. FamilyAmembersAshouldAbeAencouragedAtoAinteractAwithAtheApatientAregardlessAofAth
eApatient'sAstateAofAdementia
c. ConfrontationAshouldAnotAbeAusedAforAaAdisorientedApatient
AAnurseAisAadmittingAaApatientAwithAschizophreniaAtoAanAacuteAcareAsetting.AWhenAtheAnurseAques
tionsAtheApatientAregardingAtheirAadmission,AtheAclientAstates,A"I'mAred,AinAtheAhead,AandAI'm
, goingAtoAbed!"ATheAnurseAshouldAdocumentAtheAclient'sAspeechApatternAasAwhichAofAtheAfollowing?
a. ClangAassociationAb.AWordAsalad
c. Neologism
d. EcholaliaA-AANSA-Aa.AClangAassociation
Rationale:ATheAnurseAshouldAdocumentAthatAtheApatientsAspeechAusesAclangAassociationsAwhichAofte
nArhymeAorAcontainAaAstringAofAwordsAthatAcanAhaveAaAsimilarAsound
b. InAwordAsalad,AwordsAareAcompletelyAmeaninglessAandAdisorganized.Ac.ANeologismAconsistsA
ofAwordsAthatAareAmadeAupAbyAtheApatient
d.AInAecholalia,AtheApatientArepeatsAtheAwordsAofAanotherAperson
AAnurseAisAassessingAaApatientAwhoAhasAschizophrenia.AWhichAofAtheAfollowingAfindingsAshouldAthe
AnurseAdocumentAasAaAnegativeAsymptomAofAthisAdisorder?
a.ADelusionsAb.ANeologismsAc.AAnhedonia
d.AEchopraxiaA-AANSA-AAnhedonia
Rationale:
PositiveAsymptomsAofAschizophreniaAusuallyAappearAsuddenlyAandAareAalterationAinAbehavior,Aperc
eption,Aspeech,AandAthought.ADelusions,AinabilityAtoAthinkAabstractly,AneologismsA(madeAupAwords)
,AecholaliaA(repeatingAofAsomeoneAelse'sAwords,AmotorAagitation,AandAechopraxiaA(mimickingAsome
oneAelse'sAmovements)AareAallApositiveAsymptomsAofAschizophrenia.
NegativeAsymptomsAofAschizophreniaAaffectAaAperson'sAabilityAtoAinteractAwithAothersAandAareAle
ssAdominantAthanApositiveAsymptoms.ANegativeAsymptomsAdevelopAoverAtime.
ExamplesAofAnegativeAsymptomsAincludeAflatAaffect,AanergiaA(lackAofAenergy),AanhedoniaA(inabilit
yAtoAenjoyAotherwiseApleasurableAactivities),AandAthoughtAblockingA(inabilityAtoAthink,Aspeak,AorAm
oveAinAresponseAtoAoutsideAstimuli)
AAnurseAisAdelegatingApatientAcareAtasksAtoAaAlicensedApracticalAnurseA(LPN)AandAanAassistiveAperso
nnel.AWhichAofAtheAfollowingAtasksAshouldAtheAnurseAassignAtoAtheALPN?A-AANSA-
AChangeAtheAAdressingAofAaAclientAwhoAhasAborderlineApersonalityAdisorderAandAsuperficialAself-
inflictedAwounds
Rationale:AAApatientAwhoAhasAborderlineApersonalityAdisorderAisAatAriskAforAself-
mutilationAsuchAasAcutting,Aself-
inflictedAwounds,AscratchingAorApickingAatAwounds.AItAisAwithinAtheALPNsAscopeAofApracticeAtoAch
angeAtheAdressing,AcleanseAtheAwound,AandAcollectAdataAregardingAtheAhealingAofAtheAwound.
AAnurseAisAassessingAaAschool-
ageAchildAwhoAhasAconductAdisorder.AWhichAofAtheAfollowingAcharacteristicsAshouldAtheAnurseAexpe
ctAtheAchildAtoAdemonstrate?
