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 li censed nurse indicates an understanding of the teaching? 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? 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? 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.) r. 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.) 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? 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? 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? 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.” 3.) A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply.) a. Hypotension. b. Paralytic ileus. c. Memory loss. d. Nausea. e. Confusion. 4.) A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion? a. Borderline personality disorder. b. Acute withdrawal related to a substance use disorder. c. Bipolar disorder with rapid cycling. d. Dysphoric disorder. 5.) A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? (Select all that apply.) a. Voice changes. b. Seizure activity. c. Disorientation. d. Dysphagia. e. Neck pain. Chapter 16 Personality Disorders 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? a. “I can promote my client’s sense of control by establishing a schedule.” b. “I should encourage clients who have a schizoid personality disorder to increase socialization.” c. “I should practice limit-setting to help prevent client manipulation.” d. “I should implement assertiveness training with clients who have antisocial personality disorder.” 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.” b. “I’ll go to group therapy if you’ll let me smoke.” c. “I need to feel that everyone admires me.” d. “I sometimes feel better if I cut myself.” 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? a. Regression. b. Splitting. c. Undoing. d. Identification.