ATI RN
ATI Mental Health Practice B
1. A client has been diagnosed with obsessive-compulsive personality disorder. Which of the following behaviors should the nurse expect?
- A. Perfectionism
- B. Flexibility
- C. Generosity
- D. Spontaneity
Correct answer: A
Rationale: Individuals with obsessive-compulsive personality disorder commonly exhibit perfectionism, a need for orderliness, and a preoccupation with details. This behavior often interferes with task completion and can impact interpersonal relationships. Choice A is correct because perfectionism is a key characteristic of this disorder. Choices B, C, and D are incorrect because individuals with obsessive-compulsive personality disorder typically lack flexibility, may not display generosity, and tend to avoid spontaneity.
2. A psychiatric nurse observes that a client diagnosed with schizophrenia is pacing up and down the corridor. The client is muttering to himself, and his hands are trembling. Which of the following actions should the nurse take first?
- A. Ask the client if he is hearing voices.
- B. Offer the client a PRN medication for anxiety.
- C. Encourage the client to participate in a relaxation exercise.
- D. Remove the client to a quieter environment.
Correct answer: D
Rationale: The first action the nurse should take is to remove the client to a quieter environment. This intervention aims to reduce stimuli that may be contributing to the client's agitation and help create a calmer and more supportive setting for the client. Choices A, B, and C are not the priority in this situation as addressing the environmental factors should come first before exploring symptoms, offering medication, or engaging in relaxation exercises.
3. A client with borderline personality disorder is receiving care. Which of the following interventions should be included in the plan of care?
- A. Set clear and consistent boundaries
- B. Encourage independence
- C. Avoid discussing the client's feelings
- D. Use a firm, authoritative approach
Correct answer: B
Rationale: When caring for a client with borderline personality disorder, it is essential to encourage independence rather than dependency. This helps promote autonomy and self-reliance, which are important aspects of treatment. Setting clear and consistent boundaries is also crucial, as it provides structure and predictability. Avoiding discussing the client's feelings is not recommended, as addressing emotions and promoting emotional awareness is a key part of therapy. Using a firm, authoritative approach may not be the most effective strategy as it can lead to power struggles and conflicts in individuals with borderline personality disorder.
4. A client has been diagnosed with histrionic personality disorder. Which of the following behaviors should the nurse expect?
- A. Attention-seeking behavior
- B. Dramatic expressions of emotion
- C. Seductive behavior
- D. Dependency on others
Correct answer: A
Rationale: Individuals with histrionic personality disorder often display attention-seeking behaviors as a way to draw focus and validation from others. This behavior may manifest as exaggerated emotions and dramatic expressions to maintain the spotlight. While seductive behavior and dependency on others are potential characteristics of histrionic personality disorder, attention-seeking behavior is the hallmark trait. Therefore, the correct answer is attention-seeking behavior (Choice A). Dramatic expressions of emotion (Choice B) can be a feature of histrionic personality disorder, but it is not as characteristic as attention-seeking behavior. Seductive behavior (Choice C) may also be present in individuals with histrionic personality disorder, but it is not the primary behavior to expect. Dependency on others (Choice D) is not a core feature of histrionic personality disorder, although individuals with this disorder may seek attention and validation from others.
5. A client with schizophrenia is prescribed an antipsychotic medication. Which of the following side effects should the nurse monitor for? Select one that does not apply.
- A. Tardive dyskinesia
- B. Neuroleptic malignant syndrome
- C. Mindfulness meditation
- D. Hyperglycemia
Correct answer: C
Rationale: The correct answer is C, 'Mindfulness meditation.' Side effects of antipsychotic medications include tardive dyskinesia, neuroleptic malignant syndrome, orthostatic hypotension, and hyperglycemia. Mindfulness meditation is not a side effect of antipsychotic medications. Choices A, B, and D are all potential side effects of antipsychotic medications. Tardive dyskinesia is a movement disorder characterized by repetitive, involuntary movements. Neuroleptic malignant syndrome is a rare but life-threatening reaction to antipsychotic medication. Hyperglycemia can occur as a side effect of some antipsychotic medications, particularly the second-generation ones.
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