ATI RN MENTAL HEALTH 2019 WITH NGN 100% PASS WITH
RATIONALES LATEST UPDATES QUESTION AND ANSWERS
ALREADY GRADED.
A nurse is caring for a group of patients. For which of the following situations should the
nurse complete an incident report? - answer-A client was administered one-half of the
prescribed dose of medication
Rationale: An incident report is a recording of any occurrence that does not meet the
standard of care. The nurse should report medication errors using the facility's incident
or occurrence form.
A nurse is caring for a group of patients. Which of the following findings is the nurse
required to report? - answer-A client who has borderline personality disorder threatened
to harm their roommate
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied
by threats and other-directed violence. While it is important for the nurse to maintain the
patients confidentiality, when another individual might be in danger, the nurse is required
by law to report it to authorities.
A nurse is caring for a patient who has borderline personality disorder. Which of the
following goals is the priority when planning care for this patient?
a. The patient will take the prescribed medications as scheduled
b. The patient will express feelings of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy - answer-c. The client will refrain from
self-mutilation
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the
priority goal is for the patient to refrain from self-mutilation
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is an
important goal. However, this is not the priority goal
b. Expressing feelings of frustration to acknowledge these feelings is an important goal.
However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is an important goal.
However, this is not the priority goal
A nurse is discussing the home care of a patient who has advanced Alzheimer's
disease. The patient's caregiver is planning to go out of town for several days. Which of
the following resources should the nurse recommended to the caregiver?
,a. Respite care
b. Partial hospitalization
c. Adult day care program
d. Geropsychiatric unit - answer-a. Respite care
Rationale: Respite care programs allow the patient to stay in a nursing facility for a set
number of days, allowing the caregivers to go on vacation or have some time to
themselves
b. Partial hospitalization provides services for several hours during the day, but they are
not designed to offer 24-hr care. A patient with advanced Alzheimer's disease is unable
to safely remain at home unattended
c. Adult day care programs can provide services throughout the day to patient's with
Alzheimer's disease, allowing the caregiver the ability to work or have a break. The
patient's return home in the evening. A patient who has advanced Alzheimer's disease is
unable to safely remain at home unattended.
d. A geropsychiatric unit provides care for patients requiring acute psychiatric services
due to sudden mental status changes, psychosis, or other mental health services. These
services are ideal for patients who are at risk of harming themselves or others
A nurse is caring for an older adult patient who has dementia and has wandered into the
day room looking for their deceased partner. Which of the following actions should the
nurse take?
a. Move the patient to a room near the nurses' station
b. Limit visitors until the patient is oriented to the environment
c. Tell the patient their partner is deceased
d. Talk with the patient about activities they enjoyed with their partner - answer-Talk with
the patient about activities they enjoyed with their partner
Rationale:
Talking about positive experiences can help distract the patient from their disorientation
a. When caring for a patient with dementia, avoid placing them in unfamiliar settings
when possible.
b. Family members should be encouraged to interact with the patient regardless of the
patient's state of dementia
c. Confrontation should not be used for a disoriented patient
A nurse is admitting a patient with schizophrenia to an acute care setting. When the
nurse questions the patient regarding their admission, the client states, "I'm red, in the
head, and I'm going to bed!" The nurse should document the client's speech pattern as
which of the following?
a. Clang association
b. Word salad
c. Neologism
, d. Echolalia - answer-a. Clang association
Rationale: The nurse should document that the patients speech uses clang associations
which often rhyme or contain a string of words that can have a similar sound
b. In word salad, words are completely meaningless and disorganized.
c. Neologism consists of words that are made up by the patient
d. In echolalia, the patient repeats the words of another person
A nurse is assessing a patient who has schizophrenia. Which of the following findings
should the nurse document as a negative symptom of this disorder?
a. Delusions
b. Neologisms
c. Anhedonia
d. Echopraxia - answer-Anhedonia
Rationale:
Positive symptoms of schizophrenia usually appear suddenly and are alteration in
behavior, perception, speech, and thought. Delusions, inability to think abstractly,
neologisms (made up words), echolalia (repeating of someone else's words, motor
agitation, and echopraxia (mimicking someone else's movements) are all positive
symptoms of schizophrenia.
Negative symptoms of schizophrenia affect a person's ability to interact with others and
are less dominant than positive symptoms. Negative symptoms develop over time.
Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia
(inability to enjoy otherwise pleasurable activities), and thought blocking (inability to
think, speak, or move in response to outside stimuli)
A nurse is delegating patient care tasks to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should the nurse assign to the LPN? -
answer-Change the dressing of a client who has borderline personality disorder and
superficial self-inflicted wounds
Rationale: A patient who has borderline personality disorder is at risk for self-mutilation
such as cutting, self-inflicted wounds, scratching or picking at wounds. It is within the
LPNs scope of practice to change the dressing, cleanse the wound, and collect data
regarding the healing of the wound.
A nurse is assessing a school-age child who has conduct disorder. Which of the
following characteristics should the nurse expect the child to demonstrate?
a. Feelings of remorse
b. Extended periods of depression
c. Deficits in intellectual functioning
d. Aggression towards animals - answer-d. Aggression toward animals
RATIONALES LATEST UPDATES QUESTION AND ANSWERS
ALREADY GRADED.
A nurse is caring for a group of patients. For which of the following situations should the
nurse complete an incident report? - answer-A client was administered one-half of the
prescribed dose of medication
Rationale: An incident report is a recording of any occurrence that does not meet the
standard of care. The nurse should report medication errors using the facility's incident
or occurrence form.
A nurse is caring for a group of patients. Which of the following findings is the nurse
required to report? - answer-A client who has borderline personality disorder threatened
to harm their roommate
Rationale: Signs and symptoms of BPD include interpersonal relationships accompanied
by threats and other-directed violence. While it is important for the nurse to maintain the
patients confidentiality, when another individual might be in danger, the nurse is required
by law to report it to authorities.
A nurse is caring for a patient who has borderline personality disorder. Which of the
following goals is the priority when planning care for this patient?
a. The patient will take the prescribed medications as scheduled
b. The patient will express feelings of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy - answer-c. The client will refrain from
self-mutilation
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the
priority goal is for the patient to refrain from self-mutilation
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is an
important goal. However, this is not the priority goal
b. Expressing feelings of frustration to acknowledge these feelings is an important goal.
However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is an important goal.
However, this is not the priority goal
A nurse is discussing the home care of a patient who has advanced Alzheimer's
disease. The patient's caregiver is planning to go out of town for several days. Which of
the following resources should the nurse recommended to the caregiver?
,a. Respite care
b. Partial hospitalization
c. Adult day care program
d. Geropsychiatric unit - answer-a. Respite care
Rationale: Respite care programs allow the patient to stay in a nursing facility for a set
number of days, allowing the caregivers to go on vacation or have some time to
themselves
b. Partial hospitalization provides services for several hours during the day, but they are
not designed to offer 24-hr care. A patient with advanced Alzheimer's disease is unable
to safely remain at home unattended
c. Adult day care programs can provide services throughout the day to patient's with
Alzheimer's disease, allowing the caregiver the ability to work or have a break. The
patient's return home in the evening. A patient who has advanced Alzheimer's disease is
unable to safely remain at home unattended.
d. A geropsychiatric unit provides care for patients requiring acute psychiatric services
due to sudden mental status changes, psychosis, or other mental health services. These
services are ideal for patients who are at risk of harming themselves or others
A nurse is caring for an older adult patient who has dementia and has wandered into the
day room looking for their deceased partner. Which of the following actions should the
nurse take?
a. Move the patient to a room near the nurses' station
b. Limit visitors until the patient is oriented to the environment
c. Tell the patient their partner is deceased
d. Talk with the patient about activities they enjoyed with their partner - answer-Talk with
the patient about activities they enjoyed with their partner
Rationale:
Talking about positive experiences can help distract the patient from their disorientation
a. When caring for a patient with dementia, avoid placing them in unfamiliar settings
when possible.
b. Family members should be encouraged to interact with the patient regardless of the
patient's state of dementia
c. Confrontation should not be used for a disoriented patient
A nurse is admitting a patient with schizophrenia to an acute care setting. When the
nurse questions the patient regarding their admission, the client states, "I'm red, in the
head, and I'm going to bed!" The nurse should document the client's speech pattern as
which of the following?
a. Clang association
b. Word salad
c. Neologism
, d. Echolalia - answer-a. Clang association
Rationale: The nurse should document that the patients speech uses clang associations
which often rhyme or contain a string of words that can have a similar sound
b. In word salad, words are completely meaningless and disorganized.
c. Neologism consists of words that are made up by the patient
d. In echolalia, the patient repeats the words of another person
A nurse is assessing a patient who has schizophrenia. Which of the following findings
should the nurse document as a negative symptom of this disorder?
a. Delusions
b. Neologisms
c. Anhedonia
d. Echopraxia - answer-Anhedonia
Rationale:
Positive symptoms of schizophrenia usually appear suddenly and are alteration in
behavior, perception, speech, and thought. Delusions, inability to think abstractly,
neologisms (made up words), echolalia (repeating of someone else's words, motor
agitation, and echopraxia (mimicking someone else's movements) are all positive
symptoms of schizophrenia.
Negative symptoms of schizophrenia affect a person's ability to interact with others and
are less dominant than positive symptoms. Negative symptoms develop over time.
Examples of negative symptoms include flat affect, anergia (lack of energy), anhedonia
(inability to enjoy otherwise pleasurable activities), and thought blocking (inability to
think, speak, or move in response to outside stimuli)
A nurse is delegating patient care tasks to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should the nurse assign to the LPN? -
answer-Change the dressing of a client who has borderline personality disorder and
superficial self-inflicted wounds
Rationale: A patient who has borderline personality disorder is at risk for self-mutilation
such as cutting, self-inflicted wounds, scratching or picking at wounds. It is within the
LPNs scope of practice to change the dressing, cleanse the wound, and collect data
regarding the healing of the wound.
A nurse is assessing a school-age child who has conduct disorder. Which of the
following characteristics should the nurse expect the child to demonstrate?
a. Feelings of remorse
b. Extended periods of depression
c. Deficits in intellectual functioning
d. Aggression towards animals - answer-d. Aggression toward animals
