ATI Psych-Mood/Personality Disorders Test Q & A

A nurse is planning discharge for a client who has BPD. Which of the following interventions should be included for this client? A. dialectical behavior therapy B. behavioral contract C. bibliotherapy D. safety plan A. dialectical behavior therapy -BPD and self-injurious behaviors behavioral contract: aggressive/disruptive behavior bibliotherapy: gain skills for dealing with stressful situations safety plan: in abusive relationship A nurse is caring for a client who has bipolar disorder. The client states, "I feel like superman. I can do anything. I can fly home today and then become a U.S. Senator." Which of the following findings is this client exhibiting? A. flight of ideas B. grandiosity C. reality testing D. derealization B. grandiosity A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate? A. "you are being unreasonable, and I will not call your doctor at this hour" B. "go back to your room, and I'll try to get in touch with your doctor" C. "I can't call a doctor in the middle of the night unless it's an emergency" D. "you must be very upset about something" D. "you must be very upset about something" A nurse is assessing a client who has a mood disorder to determine his readiness for discharge. Which of the following statements by the client indicates he is ready for discharge? A. "right now, I can't bathe or dress myself, but that's not important" B. "when I get home, I'm going to let the people who put me here know how angry I am" C. "I will take my meds as I should and know to call the number you gave me if I have bad thoughts" D. "taking care of myself is important, but it's okay if I want to take a break and not do anything" C. "I will take my meds as I should and know to call the number you gave me if I have bad thoughts" A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching? A. "this med is addictive, so you will need to d/c in 6 months" B. "weight gain should be reported to your provider as in indication of lithium toxicity" C. "your provider may prescribe a diuretic if you have trouble urinating while taking lithium" D. "we will monitor your lithium levels closely while you are taking this med" D. "we will monitor your lithium levels closely while you are taking this med" -narrow therapeutic range -not addictive -expected adverse effect -impairs kidneys ability to concentrate urine (aka no diuretic = increase in toxicity) A nurse is caring for a client who has paranoid personality disorder. Which of the following findings should the nurse expect? (Select all that apply) A. believes that others are deceiving him B. desires to be the center of attention C. views himself as inferior to others D. demonstrates a grandiose sense of self-importance E. persistently holds onto grudges A. believes that others are deceiving him E. persistently holds onto grudges B - histrionic C - avoidant D - narcissistic A nurse is planning care for a client who demonstrates manipulative behavior. Which of the following interventions should be included in the plan of care? A. allow manipulation so as to not raise the client’s anxiety B. avoid discussing past behaviors with the client C. institute consequences for manipulative behavior D. bargain with the client to discourage manipulative behavior C. institute consequences for manipulative behavior A nurse is planning care for a client who has dependent personality disorder. Which of the following actions should the nurse plan to take? A. monitor the client closely to prevent self-mutilation