ATI RN MENTAL HEALTH 2019 WITH NGN 100% v v v v v v v
PASSWITH RATIONALESLATEST UPDATES
v v v v v
QUESTION&ANSWERS WITH v v v
RATIONALES 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 of
v v v v v v v v v v v v v v v v v v
medication
v
Rationale: An incident report is a recording of any occurrence that does not meet the standard of care.
v v v v v v v v v v v v v v v v v
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
A nurse is caring for a group of patients. Which of the following findings is the nurse required to
v v v v v v v v v v v v v v v v v v
report? - ANS - A client who has borderline personality disorder threatened to harm their roommate
v v v v v v v v v v v v v v v vv
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied by threats and
v v v v v v v v v v v v
other-directed violence. While it is important for the nurse to maintain the patients confidentiality,
v v v v v v v v v v v v v v
when another individual might be in danger, the nurse is required by law to report it to authorities.
v v v v v v v v v v v v v v v v v v
A nurse is caring for a patient who has borderline personality disorder. Which of the following goals is
v v v v v v v v v v v v v v v v v
the priority when planning care for this patient?
v v v v v v v v
a. The patient will take the prescribed medications as scheduled b. The patient will express feelings of
v v v v v v v v v v v v v v v v
frustration
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- mutilation
v v v v v v v v v v v v v v v v v vv
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the priority goal is for
v v v v v v v v v v v v v v v v v v
the patient to refrain from self-mutilation
v v v v v v
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is an
v v v v v v v v v v v
important goal. However, this is not the priority goal
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 is not
v v v v v v v v v v v v v v v v v v
the priority goal
v v v
,A nurse is discussing the home care of a patient who has advanced Alzheimer's disease. The patient's
v v v v v v v v v v v v v v v v
caregiver is planning to go out of town for several days. Which of the following resources should the
v v v v v v v v v v v v v v v v v v
nurse recommended to the caregiver?
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 days,
v v v v v v v v v v v v v v v v v v
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
b. Partial hospitalization provides services for several hours during the day, but they are not
v v v v v v v v v v v v v
designed to offer 24-hr care. A patient with advanced Alzheimer's disease is unable to safely remain
v v v v v v v v v v v v v v v v
at home unattended
v v v
c. Adult day care programs can provide services throughout the day to patient's with Alzheimer's
v v v v v v v v v v v v v
disease, allowing the caregiver the ability to work or have a break. The patient's return home in the
v v v v v v v v v v v v v v v v v v
evening. A patient who has advanced Alzheimer's disease is unable to safely remain at home
v v v v v v v v v v v v v v v
unattended.
v
d. A geropsychiatric unit provides care for patients requiring acute psychiatric services due to
v v v v v v v v v v v v
sudden mental status changes, psychosis, or other mental health services. These services are ideal for
v v v v v v v v v v v v v v v
patients who are at risk of harming themselves or others
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 partner is
v v v v v v v v v v v v v v v v
deceased
v
d. Talk with the patient about activities they enjoyed with their partner - ANS - Talk with the patient
v v v v v v v v v v v v v v v v v vv
about activities they enjoyed with their partner
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 when
v v v v v v v v v v v v v
possible.
v
b. Family members should be encouraged to interact with the patient regardless of the v v v v v v v v v v v v
patient's state of dementia
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 questions
v v v v v v v v v v v v v v v v
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
, 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 of
v v v v v v v v v v v v
words that are made up by the patient
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 nurse
v v v v v v v v v v v v v v v v
document as a negative symptom of this disorder?
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 words),
v v v v v v v v v v v v v
echolalia (repeating of someone else's words, motor agitation, and echopraxia (mimicking someone
v v v v v v v v v v v v
else's movements) are all positive symptoms of schizophrenia.
v v v v v v v v
Negative symptoms of schizophrenia affect a person's ability to interact with others and are less
v v v v v v v v v v v v v v
dominant than positive symptoms. Negative symptoms develop over time.
v v v v v v v v v
Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia (inability to
v v v v v v v v v v v v v
enjoy otherwise pleasurable activities), and thought blocking (inability to think, speak, or move in
v v v v v v v v v v v v v v
response to outside stimuli)
v v v v
A nurse is delegating patient care tasks to a licensed practical nurse (LPN) and an assistive personnel.
v v v v v v v v v v v v v v v v
Which of the following tasks should the nurse assign to the LPN? - ANS - Change the dressing of a
v v v v v v v v v v v v v v v v v vv v v
client who has borderline personality disorder and superficial self-inflicted wounds
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 the
v v v v v v v v v v v v v v v v
wound.
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
PASSWITH RATIONALESLATEST UPDATES
v v v v v
QUESTION&ANSWERS WITH v v v
RATIONALES 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 of
v v v v v v v v v v v v v v v v v v
medication
v
Rationale: An incident report is a recording of any occurrence that does not meet the standard of care.
v v v v v v v v v v v v v v v v v
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
A nurse is caring for a group of patients. Which of the following findings is the nurse required to
v v v v v v v v v v v v v v v v v v
report? - ANS - A client who has borderline personality disorder threatened to harm their roommate
v v v v v v v v v v v v v v v vv
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied by threats and
v v v v v v v v v v v v
other-directed violence. While it is important for the nurse to maintain the patients confidentiality,
v v v v v v v v v v v v v v
when another individual might be in danger, the nurse is required by law to report it to authorities.
v v v v v v v v v v v v v v v v v v
A nurse is caring for a patient who has borderline personality disorder. Which of the following goals is
v v v v v v v v v v v v v v v v v
the priority when planning care for this patient?
v v v v v v v v
a. The patient will take the prescribed medications as scheduled b. The patient will express feelings of
v v v v v v v v v v v v v v v v
frustration
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- mutilation
v v v v v v v v v v v v v v v v v vv
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the priority goal is for
v v v v v v v v v v v v v v v v v v
the patient to refrain from self-mutilation
v v v v v v
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is an
v v v v v v v v v v v
important goal. However, this is not the priority goal
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 is not
v v v v v v v v v v v v v v v v v v
the priority goal
v v v
,A nurse is discussing the home care of a patient who has advanced Alzheimer's disease. The patient's
v v v v v v v v v v v v v v v v
caregiver is planning to go out of town for several days. Which of the following resources should the
v v v v v v v v v v v v v v v v v v
nurse recommended to the caregiver?
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 days,
v v v v v v v v v v v v v v v v v v
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
b. Partial hospitalization provides services for several hours during the day, but they are not
v v v v v v v v v v v v v
designed to offer 24-hr care. A patient with advanced Alzheimer's disease is unable to safely remain
v v v v v v v v v v v v v v v v
at home unattended
v v v
c. Adult day care programs can provide services throughout the day to patient's with Alzheimer's
v v v v v v v v v v v v v
disease, allowing the caregiver the ability to work or have a break. The patient's return home in the
v v v v v v v v v v v v v v v v v v
evening. A patient who has advanced Alzheimer's disease is unable to safely remain at home
v v v v v v v v v v v v v v v
unattended.
v
d. A geropsychiatric unit provides care for patients requiring acute psychiatric services due to
v v v v v v v v v v v v
sudden mental status changes, psychosis, or other mental health services. These services are ideal for
v v v v v v v v v v v v v v v
patients who are at risk of harming themselves or others
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 partner is
v v v v v v v v v v v v v v v v
deceased
v
d. Talk with the patient about activities they enjoyed with their partner - ANS - Talk with the patient
v v v v v v v v v v v v v v v v v vv
about activities they enjoyed with their partner
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 when
v v v v v v v v v v v v v
possible.
v
b. Family members should be encouraged to interact with the patient regardless of the v v v v v v v v v v v v
patient's state of dementia
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 questions
v v v v v v v v v v v v v v v v
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
, 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 of
v v v v v v v v v v v v
words that are made up by the patient
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 nurse
v v v v v v v v v v v v v v v v
document as a negative symptom of this disorder?
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 words),
v v v v v v v v v v v v v
echolalia (repeating of someone else's words, motor agitation, and echopraxia (mimicking someone
v v v v v v v v v v v v
else's movements) are all positive symptoms of schizophrenia.
v v v v v v v v
Negative symptoms of schizophrenia affect a person's ability to interact with others and are less
v v v v v v v v v v v v v v
dominant than positive symptoms. Negative symptoms develop over time.
v v v v v v v v v
Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia (inability to
v v v v v v v v v v v v v
enjoy otherwise pleasurable activities), and thought blocking (inability to think, speak, or move in
v v v v v v v v v v v v v v
response to outside stimuli)
v v v v
A nurse is delegating patient care tasks to a licensed practical nurse (LPN) and an assistive personnel.
v v v v v v v v v v v v v v v v
Which of the following tasks should the nurse assign to the LPN? - ANS - Change the dressing of a
v v v v v v v v v v v v v v v v v vv v v
client who has borderline personality disorder and superficial self-inflicted wounds
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 the
v v v v v v v v v v v v v v v v
wound.
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
