ATI MENTAL HELATH PROCTORED STUDY GUIDE LATEST UPDATE 2023/2024(70 Q & A)

ATI MENTAL HELATH PROCTORED STUDY GUIDE LATEST UPDATE 2023/2024(70 Q & A) 1. A nurse in an alcohol treatment facility is caring fora client who states, “My job is so stressfulthatthe only way I can cope is to drink.” The nurse should recognize that the client is displaying which of the following defense mechanisms? A. Introjection(Unconscious adoptionof the ideas orattitudes ofothers) B. Repression C. Rationalization D. Intellectualization Repression ● Unconsciously puttingunacceptableideas, thoughts, and emotions out of awareness ● ADAPTIVE USE:A person preparing to givea speech unconsciously forgets about the time when he was young and kids laughed at him while on stage. ● MALADAPTIVE USE:A personwho has a fear ofthe dentist Rationalization ● Creatingreasonable and acceptableexplanations for unacceptable behavior ● ADAPTIVE USE:An adolescent boy says,“she must already havea boyfriend” when rejected by a girl ● MALADAPTIVE USE: A young adult explains he had to drive homefrom a party after drinking alcohol because he had to feed his dog Intellectualization ● Separation of emotions and logical facts whenanalyzing or coping with a situation or event ● ADAPTIVE USE:A law enforcement officer blocks out the emotional aspect of a crimeso hecan objectively focus on the investigation. ● MALADAPTIVE USE:A personwho learns he has a terminal illness focuses on creating a will and financial matters rather than acknowledging his grief. 2. A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider? A. Knee arthroplasty 1 month ago B. HepatitisB infection C. Recent head injury (Avoid administering to clients at riskfor seizures,such asa client who has ahead injury) D. Hypothyroidism Bupropion = ATYPICALANTIDEPRESSANT,inhibitsDopamineuptake ○ Alternativeto SSRIs for clients unableto toleratesexual dysfunction side effects ○ Complications:Headache, drymouth,GIdistress, constipation,increasedheart rate, nausea, restlessness, insomnia ■ Suppression of appetite = weightloss, contraindicated for those whohave anorexiaor bulimia 3. A nurse is assessing a client who has histrionic personality disorder. Which of the following findings should the nurse expect? A. Lackof remorse B. Splittingof staff C. Attention-seeking D. Identity disturbance Histrionic ● “POK POK”-Characterized by emotional attention-seeking behavior,inwhich the person needs to be the center of attention; often seductive and flirtatious. 4. A nurse is providingteaching to the daughter of an older client whohas obsessive-compulsivedisorder. Whichofthe following statements by thedaughter indicates an understanding of the teaching? A. “I will provide my mother with detailedinstructions abouthowto perform self-care.”(Give simple directions) B. “I will limit my mother’s clothing choices when sheis getting dressed.”(If client isindecisive, limit the client's choices; if clientstill unable to make a decision, give client one outfit to wear) C. “I will wake my mother up a coupleof times in the night tocheck on her.” D. “I will discourage my mother from talkingabout her physical complaints.” OCD ● The client attempts to suppress persistentthoughtsorurgesthat cause anxiety through compulsive or obsessive behaviors, such as repetitive hand washing. ● Obsessions or compulsions are time-consumingand result in impaired social and occupational functioning.