ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide?
Correct Answer: B
Rationale: The correct answer is B: "I can hear that your sister's comments are overwhelming you." This response acknowledges the client's feelings and shows empathy, validating her experience. It demonstrates active listening and understanding without judgment.
Choice A dismisses the client's feelings, which can be harmful.
Choice C may come off as accusatory and may make the client defensive.
Choice D shifts the focus away from the client's emotions, missing an opportunity for therapeutic communication.
Question 2 of 5
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during the working phase of group development?
Correct Answer: C
Rationale: The correct answer is C: Discussing ways to use new coping skills learned. During the working phase of group development, the focus is on implementing and practicing new skills and strategies. This helps group members apply what they have learned to their real-life situations. By discussing ways to use new coping skills, the RN is facilitating the group's progress towards achieving their therapeutic goals.
A: Establishing a rapport with group members is important in the initial phase of group development, not during the working phase.
B: Clarifying the nurse’s role and clients’ responsibilities is more relevant to the orientation phase, not the working phase.
D: Helping clients identify areas of problem in their lives is typically done in the initial assessment phase, not during the working phase.
Question 3 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
Correct Answer: C
Rationale: The correct answer is C: Avoid recognizing the behavior. Echolalia is the repetition of words or phrases spoken by others, common in schizophrenia. By not reinforcing or acknowledging the behavior, the client may eventually stop. Isolating the client (
Choice
A) may lead to feelings of rejection. Administering a sedative (
Choice
B) may not address the underlying behavior. Escorting the client to his room (
Choice
D) does not address the echolalia directly.
Question 4 of 5
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription?
Correct Answer: A
Rationale: The correct answer is A. Clonidine is a medication commonly prescribed for managing symptoms of alcohol withdrawal. Since it can lower blood pressure, it is crucial to monitor the client's blood pressure regularly. In this case, the client's blood pressure readings of 90/62 mmHg to 92/58 mmHg are low, indicating hypotension. Administering clonidine in this situation can further decrease blood pressure, potentially causing adverse effects like dizziness, light-headedness, or even fainting.
Therefore, the RN should withhold the clonidine prescription to prevent exacerbating hypotension.
Choices B, C, and D are within normal ranges and do not contraindicate the use of clonidine in this scenario.
Question 5 of 5
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This is important to prevent aspiration during ECT, as anesthesia is often used and the client must have an empty stomach. Holding all bedtime medications (choice
A) is not necessary unless specified by the healthcare provider. Implementing elopement precautions (choice
C) is not relevant to ECT procedure. Giving the client an enema at bedtime (choice
D) is unnecessary and not indicated for ECT preparation.