ATI PN MENTAL HEALTH PROCTORED EXAM

ATI PN MENTAL HEALTH PROCTORED EXAM 1. 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 an understanding of the teaching? C. “I should practice limit‐setting to help prevent client manipulation.” 2. A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder? A. “I’m scared that you’re going to leave me.” Clients who have avoidant personality disorder often have a fear of abandonment. this type of statement is expected. 3. 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 defense mechanisms? B. 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 tends to see a person as all bad one time and all good another time. 4. A nurse is assisting with a court‐ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurseexpect? (select all that apply.) C. attempts to convince other clients to give him their belongings. exploitation and manipulation of others is an expected finding of antisocial personality disorder. E. Blames others for his past and current problems. Failure to accept personal responsibility is an expected finding of clients who have antisocial personality disorder. 5. A charge nurse is preparing a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (select all that apply.) A. Difficulty in getting along with other members of a group C. Display of defense mechanisms when routines are changed. Maladaptive response to stress is a personality characteristic that can be seen with all personality disorder types. E. Difficulty understanding whyit is inappropriate to have a personal relationship with staff. Difficulty understanding personal boundaries is a personality characteristic that can be seen with all personality disorder types. 6.A nurse is caring for a client who has early stage Alzheimer’s disease and a new prescription for donepezil. the nurse should include which of the following statements when teaching the client about the medication? B. “You can expect theprogression of cognitive decline to slow with donepezil.” 7.A nurse in a long‐term care facilityis caring for a client who hasmajor neurocognitive disorderand attempts to wander out of the building. the client states, “I have to get home.” Which of the following statements should the nurse make? D. “I am your nurse. Let’s walk together to your room.” 8.A home health nurse is making avisit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury? A. Install childproof door locks. D. Place the client’s mattress on the floor. E. install light fixtures above stairs. Stairs should have adequate lighting to reduce the risk for falls. 1.) A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching? a. “It is common to treat depression with ECT before trying medications.” b. “I can have my depression cured if I receive a series of ECT treatments.” c. “I should receive ECT once a week for 6 weeks.” d. “I will receive a muscle relaxant to protect me from injury during ECT.” 2.) A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. “TMS is indicated for clients who have schizophrenia spectrum disorders.” b. “I will provide postanesthesia care following TMS.” c. “TMS treatments usually last 5 to 10 minutes.” d. “I will schedule the client for daily TMS treatments for the first several weeks.”