,
,ATI
, Mental Health Final Exam with NGN | A+ GRADED
Stand-Alone Questions (1–30)
Question 1 of 40
A nurse is caring for a client with borderline personality disorder who exhibits self-harming behavior.
Which of the following is the priority nursing intervention?
• Restrict all sharp objects from the client's room
• Establish a no-harm contract with the client
• Explore the underlying emotions triggering the behavior
• Place the client in seclusion until the urge passes
Correct 100%Correct VERIFid Answer::
• Restrict all sharp objects from the client's room
Rationale:
Safety is always the priority. Removing means of self-harm precedes any psychological intervention.
Noharm contracts are not reliable in acute settings. Exploring emotions is important but not first.
Seclusion is not indicated for self-harm urges alone.
Question 2 of 40
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine (Prozac). Which of
the following statements by the client indicates an understanding of the teaching?
• "I will feel better within 24 to 48 hours."
• "I should avoid eating aged cheese and smoked meats."
• "I will take this medication in the morning to prevent insomnia."
• "I can stop taking this medication abruptly if I feel well."
Correct 100%Correct VERIFid Answer::
• "I will take this medication in the morning to prevent insomnia."
Rationale:
Fluoxetine (SSRI) can cause insomnia, so morning dosing is recommended. Onset is 4–6 weeks. Tyramine
restriction is for MAOIs. Abrupt discontinuation causes withdrawal.