ATI Mental Health Final Quiz (aka Quiz 3) Contains 50 Questions & 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?"