ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: A, D
Rationale: Moderate anxiety is associated with physical restlessness, rapid speech, and increased urinary frequency.
Question 2 of 5
A nurse is caring for a client who has schizophrenia. The client states, "The government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?
Correct Answer: A
Rationale: Persecutory delusions involve irrational beliefs that one is being targeted or harmed by external forces.
Question 3 of 5
Which medication is commonly prescribed to treat obsessive-compulsive disorder (OCD)?
Correct Answer: A
Rationale: The correct answer is A: Paroxetine. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for OCD due to its effectiveness in increasing serotonin levels in the brain, which helps reduce obsessive thoughts and compulsive behaviors. Lithium, Donepezil, Valproate, and Carbamazepine are not typically used to treat OCD as they are more commonly indicated for conditions such as mood disorders, Alzheimer's disease, epilepsy, and bipolar disorder, respectively.
Therefore, Paroxetine is the most appropriate choice for treating OCD based on its mechanism of action and proven efficacy.
Question 4 of 5
A nurse is speaking with a client experiencing anxiety. Which of the following responses is most therapeutic?
Correct Answer: B
Rationale: The correct answer is B. Bringing the client to an area for uninterrupted conversation shows active listening and support. It promotes a safe space for the client to express feelings and reduces anxiety.
Choice A is incorrect as it assumes all clients benefit from lying down, which may not be true.
Choice C is incorrect because recommending relaxation exercises may not address the client's immediate needs.
Choice D is incorrect as medication should not be the first response for managing anxiety without exploring other options first.
Question 5 of 5
A newly admitted client with obsessive-compulsive disorder (OCD) is performing ritualistic behaviors. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Identify precipitating factors for rituals. This is the first step because understanding what triggers the client's rituals is crucial in developing an effective treatment plan. By identifying these factors, the nurse can address the root cause of the behavior and work towards reducing or eliminating it. Discussing coping strategies (
A) may come later once the triggers are identified. Instructing on relaxation techniques (
C) and providing a structured activity schedule (
D) are helpful interventions but addressing the triggers takes precedence.