ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. During alcohol withdrawal, the client may experience hallucinations due to the central nervous system's hyperexcitability. This symptom is typically seen within 12-24 hours of the last drink. Bradycardia (
A) and hypotension (
C) are less common in alcohol withdrawal; tachycardia and hypertension are more typical. Hyperactivity (
D) is not a common symptom and is more likely to be seen in stimulant withdrawal.
Question 2 of 5
A nurse in a mental health facility is assessing a client who has schizophrenia. The nurse should document which of the following as a positive symptom?
Correct Answer: C
Rationale: The correct answer is C: Delusions. Positive symptoms are behaviors or experiences that are added to a person's personality, such as hallucinations or delusions. Delusions are false beliefs that are not based on reality. In the context of schizophrenia, delusions are considered positive symptoms because they represent an addition to a person's usual behavior or mental state. Social withdrawal (
A), flat affect (
B), and lack of motivation (
D) are considered negative symptoms of schizophrenia, as they involve a decrease or absence of normal behaviors or emotions.
Therefore, the nurse should document delusions as a positive symptom in the assessment of the client with schizophrenia.
Question 3 of 5
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. During alcohol withdrawal, the client may experience hallucinations, particularly visual ones, due to the impact of alcohol on the brain. This is known as alcohol hallucinosis. Hypotension (choice
A) is not typically associated with alcohol withdrawal; in fact, hypertension is more common. Hyperactivity (choice
C) is not a common symptom of alcohol withdrawal, as clients tend to be more agitated or restless. Increased appetite (choice
D) is also not a typical finding during alcohol withdrawal, as many clients experience decreased appetite. Visual hallucinations are a key symptom to monitor for during alcohol withdrawal due to their potential to be distressing and require immediate intervention.
Question 4 of 5
A nurse is developing a plan of care for a client who has borderline personality disorder and exhibits manipulative behavior. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Implement consistent limit-setting. For clients with borderline personality disorder and manipulative behavior, consistent limit-setting helps establish boundaries and promote a sense of security. By enforcing clear and consistent rules, the nurse can prevent manipulation and maintain a therapeutic environment. Encouraging flexibility with unit rules (choice
A) may enable manipulation and disrupt the treatment process. Allowing the client to negotiate consequences (choice
C) can reinforce manipulative behaviors. Avoiding addressing manipulative behavior (choice
D) can lead to escalation and reinforcement of maladaptive behaviors.
Question 5 of 5
A nurse in a psychiatric unit is providing discharge teaching to a client who has major depressive disorder and a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take the medication in the morning. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for depression. Taking it in the morning helps prevent insomnia, a common side effect. Option B is incorrect as improvement may take weeks, not 24 hours. Option C is wrong as stopping abruptly can lead to withdrawal symptoms. Option D is irrelevant as tyramine interactions are associated with MAOIs, not SSRIs.