ATI Mental Health Exam 3/Questions & Answers/Updated

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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 a need for furthe... r teaching? A. "I can promote my client's sense of control by establishing a schedule." B "Self-assessment will help me cope with emotional reactions to client care" C "I should practice limit-setting to help prevent client manipulation." D "Maintaining professional boundaries is a priority of client care." (- Answer: A Rationale: Rather than establishing a schedule, the nurse should ask for the client's input and offer realistic choices to promote the client's sense of control. A nurse is caring for a client who has avoidant personality disorder. Which of the folowing statements is expected from a client who has this type of personality disorder? A "I'm scared that you're going to leave me." B "I'll go to group therapy if you let me smoke." C "I need to feel that everyone admires me" D " I sometimes feel better if I cut myself." (- Answer: A Rationale: Client's who have avoidant personality disorder often have a fear of abandonment. Therefore, this type of statement is expected.. A charge nurse is preparing a staff education session on personality disorders. Which of the following should be included as personality characteristics associated with all of the personality disorders? (Select all that apply) A Difficulty in getting along with other members of the group B. Belief in the ability to become invisible during times of stress C. Display defense mechanisms when routines are changed D. Claiming to be more important than other persons E. Difficulty understanding why it is inappropriate to have a personal relationship with staff (- Answers: A, C, E Rationales: A: Difficulty with social and professional relationships is a personality characteristic that can be seen with all personality disorders. C : Maladaptive response to stress is a personality characteristic that can be seen with all personality disorders E: Difficulty understanding personal boundaries is a personality characterstic that can be seen with all personality disorder types 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? A. Regression B. Splitting C. Undoing D. Identification (- Answer: B Rationale: Splitting occurs when a person is unable to see both positive and negative qualities at the same time. The client who has borderline personality disorder tands to see a person as all bad at one time and all good at another time. A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. When assessing this client, which of the following are expected finding ? (Select all that apply) A. Demonstrates extreme anxiety when placed in a social sit. B. Has difficulty making even simple decisions C. Attempts to convince other to give him their belongings D. Becomes agitated if personal area is not neat or orderly E. Blames others for his past and current problems (- Answers: C, E Rationales: A. Anxiety in social sit. is an expected finding of clients who have avoidant rather than antisocial personality disorder. B. Indecisiveness, due to a sensitivity to criticism, is an expected finding of clients who have narcissitic rather than antisocial peronality disorder. C. Exploitation and manipulation of othersis an expected finding of antisocial personality disorder D. Perfectionism with a focus on orderliness and control is an expected finding of clients with OCD rather than antisocial personality disorder. E. Failure to accept personal responsibility is an expected finding of clients who have antisocial personality disorder A nurse caring for a client who has acute stres disorder and is experiencing severe anxiety. Which of the following statements by the nurse is appropriate/ A. "Tell me about how you are feeling right now." B. "You should focus on the positive things in your life to decrease your anxiety." C. "Why do you believe that you are experiencing this anxiety?" D. "Let's discuss the medications that your provider is prescribing to decrease your anxiety." (- Answer: A. Rationale: Asking an open-ended question is therapeutic and assists the client in identifying anxiety. A nurse observes a client who has OCD repeatedly applying, removingm and then reapllying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following? A. Narcissitic behavior B. Fear of rejection from staff C. Attempt tp reduce anxiety D. Adverse effect of antidepressant medication (- Answer: C Rationale: Clients with OCD demonstrate repetitive behavior in an attempt to suppress persistent thoughts or urges. A nurse observes a client who is pacing and wringing his hands. The client states "I don't know why, but everyday for the last year I've worried that my son will die a horrible death." The nurse identifies that this finding is consistent with which of the following disorders? A. Generalized Anxiety Disorder (GAD) B. Panic Disorder C. PTSD D. Acute Stress Disorder (- Answer. A Rationale: GAD is charcterized by uncontrollable, excessive worry for more than three months. A nurse working on an acute mental health unit is caring for a client who has PTSD. Which of the following is an expected finding? (Select all that apply) A. Hallucinations B.Obsessive need to talk about traumatic event C. Exaggerated displays of emotion D.Recurrent nightmares E.Diminished reflexes (- Answers: A, D Rationale: A. Hallucinations associated with the traumatic event are expected findings of PTSD B. Avoidance of stimuli associated with the traumatic event is an expected finding of PTSD C. The inability to show feelings or emotions is an expected finding of PTSD D. Recurring nightmares associated with trauma are expected findings of PTSD E. Increased arousal, rather than diminished reflexes, is an expected finding of PTSD. [Show More]

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