ATI Mental Health Proctored Exam

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

A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality

disorder. Which of the following findings should the nurse expect? (Select all that apply)

A. Demonstrates extreme anxiety when placed in a social situation

B. Has difficulty making even simple decisions

C. Attempts to convince other clients to give him their belongings

D. Becomes agitated if his personal area is not neat and orderly

E. Blames others for his past and current problems

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

B. Belief in the ability to become invisible during times of stress

C. Display of defense mechanisms when routines are changed

D. Claiming to be more important than other persons

E. Difficulty understanding why it is inappropriate to have a personal relationship with staff

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?

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A. "You should avoid taking over-the-counter acetaminophen while on donepezil."

B. "You can expect the progression of cognitive decline to slow with donepezil."

C. "You will be screened for underlying kidney disease prior to starting donepezil."

D. "You should stop taking donepezil if you experience nausea or diarrhea."

A nurse in a long-term care facility is caring for a client who has major neurocognitive

disorder and attempts to wander out of the building. The client states, "I have to get home."

Which of the following statements should the nurse make?

A. "You have forgotten that this is your home."

B. "You cannot go outside without a staff member."

C. "Why would you want to leave? Aren't you happy with your care?"

D. "I am your nurse. Let's walk together to your room."

A home health nurse is making a visit 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? (Select all that apply)

A. Install childproof door locks.

B. Place rugs over electrical cords.

C. Mark cleaning supplies with colored tape.

D. Place the client's mattress on the floor.

E. Install light fixtures above stairs.

A nurse is making a home visit to a client who is in the late stage of Alzheimer's disease.

The client's partner, who is the primary caregiver, wishes to discuss concerns about the

client's nutrition and the stress of providing care. Which of the following actions should the

nurse take?

A. Verify that a current power of attorney document is on file.

B. Instruct the client's partner to offer finger foods to increase oral intake.

C. Provide information on resources for respite care.

D. Schedules the client for placement of an enteral feeding tube.

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