ATI RN MENTAL HEALTH 2019 WITH NGN 100% v v v v v v v
PASS WITH RATIONALES LATEST UPDATES
v v v v v
QUESTION & ANSWERS v v
WITH RATIONALES v v
A nurse is caring for a group of patients. For which of the following situations should the nurse
v v v v v v v v v v v v v v v v v
complete an incident report? - ANS - A client was administered one-half of the prescribed dose
v v v v v v v v v v v v v v v v
of medication
v vv
Rationale: An incident report is a recording of any occurrence that does not meet the standard of
v v v v v v v v v v v v v v v v
care. The nurse should report medication errors using the facility's incident or occurrence form.
v v v v v v v v v v v v v v
A nurse is caring for a group of patients. Which of the following findings is the nurse required
v v v v v v v v v v v v v v v v v
to report? - ANS - A client who has borderline personality disorder threatened to harm their
v v v v v v v v v v v v v v v v v
roommate
v
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied by
v v v v v v v v v v
threats and other-directed violence. While it is important for the nurse to maintain the patients
v v v v v v v v v v v v v v v
confidentiality, when another individual might be in danger, the nurse is required by law to
v v v v v v v v v v v v v v v
report it to authorities.
v v v v
A nurse is caring for a patient who has borderline personality disorder. Which of the following
v v v v v v v v v v v v v v v
goals is the priority when planning care for this patient?
v v v v v v v v v v
a. The patient will take the prescribed medications as scheduled b. The patient will express
v v v v v v v v v v v v v v
feelings of frustration
v v v
c. The patient will refrain from self-mutilation
v v v v v v
d. The patient will participate in group therapy - ANS - c. The client will refrain from self-
v v v v v v v v v v v v v v v v v v
mutilation
v
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the priority goal
v v v v v v v v v v v v v v v v
is for the patient to refrain from self-mutilation
v v v v v v v v
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is
v v v v v v v v v v
an important goal. However, this is not the priority goal
v v v v v v v v v v
b. Expressing feelings of frustration to acknowledge these feelings is an important goal.
v v v v v v v v v v v
However, this is not the priority goal
v v v v v v
d. Participating in group therapy as part of the treatment plan is an important goal. However, this
v v v v v v v v v v v v v v v v
is not the priority goal
v v v v v
,A nurse is discussing the home care of a patient who has advanced Alzheimer's disease. The
v v v v v v v v v v v v v v v
patient's caregiver is planning to go out of town for several days. Which of the following
v v v v v v v v v v v v v v v v
resources should the nurse recommended to the caregiver?
v v v v v v v v
a. Respite care v
b. Partial hospitalization c. Adult day care program v v v v v v
d. Geropsychiatric unit - ANS - a. Respite care
v v v v v v v v
Rationale: Respite care programs allow the patient to stay in a nursing facility for a set number of
v v v v v v v v v v v v v v v v v
days, allowing the caregivers to go on vacation or have some time to themselves
v v v v v v v v v v v v v v
b. Partial hospitalization provides services for several hours during the day, but they are
v v v v v v v v v v v v
not designed to offer 24-hr care. A patient with advanced Alzheimer's disease is unable to
v v v v v v v v v v v v v v v
safely remain at home unattended
v v v v v
c. Adult day care programs can provide services throughout the day to patient's with
v v v v v v v v v v v v
Alzheimer's disease, allowing the caregiver the ability to work or have a break. The patient's
v v v v v v v v v v v v v v v
return home in the evening. A patient who has advanced Alzheimer's disease is unable to safely
v v v v v v v v v v v v v v v v
remain at home unattended.
v v v v
d. A geropsychiatric unit provides care for patients requiring acute psychiatric services due
v v v v v v v v v v v
to sudden mental status changes, psychosis, or other mental health services. These services are
v v v v v v v v v v v v v v
ideal for patients who are at risk of harming themselves or others
v v v v v v v v v v v v
A nurse is caring for an older adult patient who has dementia and has wandered into the day room
v v v v v v v v v v v v v v v v v v
looking for their deceased partner. Which of the following actions should the nurse take?
v v v v v v v v v v v v v v
a. Move the patient to a room near the nurses' station
v v v v v v v v v
b. Limit visitors until the patient is oriented to the environment c. Tell the patient their
v v v v v v v v v v v v v v
partner is deceased
v v v
d. Talk with the patient about activities they enjoyed with their partner - ANS - Talk with the
v v v v v v v v v v v v v v v v v v
patient about activities they enjoyed with their partner
v v v v v v v v
Rationale:
Talking about positive experiences can help distract the patient from their disorientation
v v v v v v v v v v v
a. When caring for a patient with dementia, avoid placing them in unfamiliar settings
v v v v v v v v v v v v
when possible.
v v
b. Family members should be encouraged to interact with the patient regardless of
v v v v v v v v v v v
the patient's state of dementia
v v v v v
c. Confrontation should not be used for a disoriented patient v v v v v v v v
A nurse is admitting a patient with schizophrenia to an acute care setting. When the nurse
v v v v v v v v v v v v v v v
questions the patient regarding their admission, the client states, "I'm red, in the head, and I'm
v v v v v v v v v v v v v v v v
, going to bed!" The nurse should document the client's speech pattern as which of the following?
v v v v v v v v v v v v v v v
a. Clang association b. Word salad
v v v v
c. Neologism
d. Echolalia - ANS - a. Clang association v v v v v v
Rationale: The nurse should document that the patients speech uses clang associations which often
v v v v v v v v v v v v v
rhyme or contain a string of words that can have a similar sound
v v v v v v v v v v v v v
b. In word salad, words are completely meaningless and disorganized. c. Neologism consists
v v v v v v v v v v v
of words that are made up by the patient
v v v v v v v v v
d. In echolalia, the patient repeats the words of another person
v v v v v v v v v v
A nurse is assessing a patient who has schizophrenia. Which of the following findings should the
v v v v v v v v v v v v v v v
nurse document as a negative symptom of this disorder?
v v v v v v v v v
a. Delusions b. Neologisms c. Anhedonia
v v v v v
d. Echopraxia - ANS - Anhedonia
v v v v v
Rationale:
Positive symptoms of schizophrenia usually appear suddenly and are alteration in behavior,
v v v v v v v v v v v
perception, speech, and thought. Delusions, inability to think abstractly, neologisms (made up
v v v v v v v v v v v v
words), echolalia (repeating of someone else's words, motor agitation, and echopraxia (mimicking
v v v v v v v v v v v v
someone else's movements) are all positive symptoms of schizophrenia.
v v v v v v v v v
Negative symptoms of schizophrenia affect a person's ability to interact with others and are
v v v v v v v v v v v v v
less dominant than positive symptoms. Negative symptoms develop over time.
v v v v v v v v v v
Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia
v v v v v v v v v v v
(inability to enjoy otherwise pleasurable activities), and thought blocking (inability to think,
v v v v v v v v v v v v
speak, or move in response to outside stimuli)
v v v v v v v v
A nurse is delegating patient care tasks to a licensed practical nurse (LPN) and an assistive
v v v v v v v v v v v v v v v
personnel. Which of the following tasks should the nurse assign to the LPN? - ANS - Change the
v v v v v v v v v v v v v v v v v v
dressing of a client who has borderline personality disorder and superficial self-inflicted wounds
vv v v v v v v v v v v v v
Rationale: A patient who has borderline personality disorder is at risk for self-mutilation such as
v v v v v v v v v v v v v v
cutting, self-inflicted wounds, scratching or picking at wounds. It is within the LPNs scope of
v v v v v v v v v v v v v v v
practice to change the dressing, cleanse the wound, and collect data regarding the healing of
v v v v v v v v v v v v v v v
the wound.
v v
A nurse is assessing a school-age child who has conduct disorder. Which of the following
v v v v v v v v v v v v v v
characteristics should the nurse expect the child to demonstrate?
v v v v v v v v v
PASS WITH RATIONALES LATEST UPDATES
v v v v v
QUESTION & ANSWERS v v
WITH RATIONALES v v
A nurse is caring for a group of patients. For which of the following situations should the nurse
v v v v v v v v v v v v v v v v v
complete an incident report? - ANS - A client was administered one-half of the prescribed dose
v v v v v v v v v v v v v v v v
of medication
v vv
Rationale: An incident report is a recording of any occurrence that does not meet the standard of
v v v v v v v v v v v v v v v v
care. The nurse should report medication errors using the facility's incident or occurrence form.
v v v v v v v v v v v v v v
A nurse is caring for a group of patients. Which of the following findings is the nurse required
v v v v v v v v v v v v v v v v v
to report? - ANS - A client who has borderline personality disorder threatened to harm their
v v v v v v v v v v v v v v v v v
roommate
v
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied by
v v v v v v v v v v
threats and other-directed violence. While it is important for the nurse to maintain the patients
v v v v v v v v v v v v v v v
confidentiality, when another individual might be in danger, the nurse is required by law to
v v v v v v v v v v v v v v v
report it to authorities.
v v v v
A nurse is caring for a patient who has borderline personality disorder. Which of the following
v v v v v v v v v v v v v v v
goals is the priority when planning care for this patient?
v v v v v v v v v v
a. The patient will take the prescribed medications as scheduled b. The patient will express
v v v v v v v v v v v v v v
feelings of frustration
v v v
c. The patient will refrain from self-mutilation
v v v v v v
d. The patient will participate in group therapy - ANS - c. The client will refrain from self-
v v v v v v v v v v v v v v v v v v
mutilation
v
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the priority goal
v v v v v v v v v v v v v v v v
is for the patient to refrain from self-mutilation
v v v v v v v v
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is
v v v v v v v v v v
an important goal. However, this is not the priority goal
v v v v v v v v v v
b. Expressing feelings of frustration to acknowledge these feelings is an important goal.
v v v v v v v v v v v
However, this is not the priority goal
v v v v v v
d. Participating in group therapy as part of the treatment plan is an important goal. However, this
v v v v v v v v v v v v v v v v
is not the priority goal
v v v v v
,A nurse is discussing the home care of a patient who has advanced Alzheimer's disease. The
v v v v v v v v v v v v v v v
patient's caregiver is planning to go out of town for several days. Which of the following
v v v v v v v v v v v v v v v v
resources should the nurse recommended to the caregiver?
v v v v v v v v
a. Respite care v
b. Partial hospitalization c. Adult day care program v v v v v v
d. Geropsychiatric unit - ANS - a. Respite care
v v v v v v v v
Rationale: Respite care programs allow the patient to stay in a nursing facility for a set number of
v v v v v v v v v v v v v v v v v
days, allowing the caregivers to go on vacation or have some time to themselves
v v v v v v v v v v v v v v
b. Partial hospitalization provides services for several hours during the day, but they are
v v v v v v v v v v v v
not designed to offer 24-hr care. A patient with advanced Alzheimer's disease is unable to
v v v v v v v v v v v v v v v
safely remain at home unattended
v v v v v
c. Adult day care programs can provide services throughout the day to patient's with
v v v v v v v v v v v v
Alzheimer's disease, allowing the caregiver the ability to work or have a break. The patient's
v v v v v v v v v v v v v v v
return home in the evening. A patient who has advanced Alzheimer's disease is unable to safely
v v v v v v v v v v v v v v v v
remain at home unattended.
v v v v
d. A geropsychiatric unit provides care for patients requiring acute psychiatric services due
v v v v v v v v v v v
to sudden mental status changes, psychosis, or other mental health services. These services are
v v v v v v v v v v v v v v
ideal for patients who are at risk of harming themselves or others
v v v v v v v v v v v v
A nurse is caring for an older adult patient who has dementia and has wandered into the day room
v v v v v v v v v v v v v v v v v v
looking for their deceased partner. Which of the following actions should the nurse take?
v v v v v v v v v v v v v v
a. Move the patient to a room near the nurses' station
v v v v v v v v v
b. Limit visitors until the patient is oriented to the environment c. Tell the patient their
v v v v v v v v v v v v v v
partner is deceased
v v v
d. Talk with the patient about activities they enjoyed with their partner - ANS - Talk with the
v v v v v v v v v v v v v v v v v v
patient about activities they enjoyed with their partner
v v v v v v v v
Rationale:
Talking about positive experiences can help distract the patient from their disorientation
v v v v v v v v v v v
a. When caring for a patient with dementia, avoid placing them in unfamiliar settings
v v v v v v v v v v v v
when possible.
v v
b. Family members should be encouraged to interact with the patient regardless of
v v v v v v v v v v v
the patient's state of dementia
v v v v v
c. Confrontation should not be used for a disoriented patient v v v v v v v v
A nurse is admitting a patient with schizophrenia to an acute care setting. When the nurse
v v v v v v v v v v v v v v v
questions the patient regarding their admission, the client states, "I'm red, in the head, and I'm
v v v v v v v v v v v v v v v v
, going to bed!" The nurse should document the client's speech pattern as which of the following?
v v v v v v v v v v v v v v v
a. Clang association b. Word salad
v v v v
c. Neologism
d. Echolalia - ANS - a. Clang association v v v v v v
Rationale: The nurse should document that the patients speech uses clang associations which often
v v v v v v v v v v v v v
rhyme or contain a string of words that can have a similar sound
v v v v v v v v v v v v v
b. In word salad, words are completely meaningless and disorganized. c. Neologism consists
v v v v v v v v v v v
of words that are made up by the patient
v v v v v v v v v
d. In echolalia, the patient repeats the words of another person
v v v v v v v v v v
A nurse is assessing a patient who has schizophrenia. Which of the following findings should the
v v v v v v v v v v v v v v v
nurse document as a negative symptom of this disorder?
v v v v v v v v v
a. Delusions b. Neologisms c. Anhedonia
v v v v v
d. Echopraxia - ANS - Anhedonia
v v v v v
Rationale:
Positive symptoms of schizophrenia usually appear suddenly and are alteration in behavior,
v v v v v v v v v v v
perception, speech, and thought. Delusions, inability to think abstractly, neologisms (made up
v v v v v v v v v v v v
words), echolalia (repeating of someone else's words, motor agitation, and echopraxia (mimicking
v v v v v v v v v v v v
someone else's movements) are all positive symptoms of schizophrenia.
v v v v v v v v v
Negative symptoms of schizophrenia affect a person's ability to interact with others and are
v v v v v v v v v v v v v
less dominant than positive symptoms. Negative symptoms develop over time.
v v v v v v v v v v
Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia
v v v v v v v v v v v
(inability to enjoy otherwise pleasurable activities), and thought blocking (inability to think,
v v v v v v v v v v v v
speak, or move in response to outside stimuli)
v v v v v v v v
A nurse is delegating patient care tasks to a licensed practical nurse (LPN) and an assistive
v v v v v v v v v v v v v v v
personnel. Which of the following tasks should the nurse assign to the LPN? - ANS - Change the
v v v v v v v v v v v v v v v v v v
dressing of a client who has borderline personality disorder and superficial self-inflicted wounds
vv v v v v v v v v v v v v
Rationale: A patient who has borderline personality disorder is at risk for self-mutilation such as
v v v v v v v v v v v v v v
cutting, self-inflicted wounds, scratching or picking at wounds. It is within the LPNs scope of
v v v v v v v v v v v v v v v
practice to change the dressing, cleanse the wound, and collect data regarding the healing of
v v v v v v v v v v v v v v v
the wound.
v v
A nurse is assessing a school-age child who has conduct disorder. Which of the following
v v v v v v v v v v v v v v
characteristics should the nurse expect the child to demonstrate?
v v v v v v v v v
