ATI Mental Health Final Quiz (aka Quiz 3) With Answers

ATI Mental Health Final Quiz (aka Quiz 3)
1. A nurse is planning care for a client who has borderline personality disorder who self-mutilates. Which
of the following test approaches should the nurse plan to take?
a. Restrict participation in group therapy sessions.
The nurse should encourage the client who has borderline personality disorder to participate in
group therapy sessions to encourage appropriate interaction with other clients.
b. Establish consequences for self-mutilation.
The nurse should respond to self-mutilation with a neutral affect and encourage the client to write
down feelings that occurred leading up to the incident.
c. Maintain close observation of the client.
Clients who have borderline personality disorder are at risk for self-harm during times
of increased anxiety. Maintaining close observation reduces the client's risk of injury.
d. Provide an unstructured environment.
Providing an unstructured environment for a client who has borderline personality disorder is not
an effective treatment approach because it does not provide a safe environment to protect the
client from impulsive and self-injurious behavior.
2. A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings
should the nurse expect?
a. The client requires assistance with eating.
The nurse should expect the client who has Stage 4 Alzheimer’s disease to still have the ability to
eat without assistance. Clients who have Alzheimer’s disease maintain this ability until Stage 7.
b. The client independently manages personal finances.
The nurse should expect the client who has Stage 4 Alzheimer’s disease to have difficulty
performing complex tasks, such as managing personal finances.
c. The client has bladder incontinence.
The nurse should expect the client who has Stage 4 Alzheimer’s disease to be able to use the
toilet independently. Clients who have Alzheimer’s disease maintain continence until Stage 6.
d. The client is able to identify the names of family members.
The nurse should expect the client who has Stage 4 Alzheimer’s disease to recognize and
identify family members. Clients who have Alzheimer’s disease maintain this ability until Stage 6.
3. A nurse is caring for a client who reports that the television set in the room is really a two-way radio and
states, "voices are coming from the TV and everything we say in the room is being recorded." Which of
the following responses should the nurse make?
a. "What we say is not being recorded."
The nurse should avoid negating the client’s beliefs about the delusion. This response can
promote a defensive client response and interfere with the development of trust in the nurse-client
relationship.
b. "Let's ignore the voices and talk about something else."
The nurse should ask the client directly about what the voices are saying to determine if there is a
safety risk. The nurse should also avoid validating that the voices are real, which promotes the
client’s beliefs about the delusion.
c. "That must be very frightening."
The nurse should respond to the client’s delusion in a calm and empathetic manner. By
acknowledging to the client that the delusion must be frightening, the nurse promotes the nurseclient
relationship.
d. "Why do you think the TV is a two-way radio?"
The nurse should avoid asking the client a "why" question, which promotes a defensive client
response.
4. A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute
mania. Which of the following client goals should the nurse identify as the priority?
a. Practicing problem-solving skills
The nurse should encourage the client to practice problem-solving skills during