ATI RN
ATI Mental Health Book Questions
Question 1 of 5
A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?
Correct Answer: C
Rationale: The correct answer is C: Recreational therapist. A recreational therapist can help the patient identify and engage in meaningful leisure activities to promote socialization and community integration. This can improve the patient's quality of life and overall well-being.
Rationale:
1. Psychologist (
A): While a psychologist can provide therapy and support, the patient's need for socialization and community engagement would be better addressed by a recreational therapist.
2. Social worker (
B): A social worker can provide resources and support, but may not have the expertise in recreational therapy to address the patient's specific needs.
3. Occupational therapist (
D): While an occupational therapist can help with daily activities and routines, they may not focus specifically on leisure activities and socialization as a recreational therapist would.
Question 2 of 5
The nurse is caring for a patient who has a question about the safety of an herbal supplement. Which nursing response is best?
Correct Answer: C
Rationale: The correct answer is C because it emphasizes the importance of informing the primary care provider about any supplements. This ensures proper monitoring for potential interactions and side effects.
Choice A is incorrect as herbal supplements are not as strictly regulated as prescription drugs.
Choice B is incorrect as natural does not always mean safe.
Choice D is incorrect as marketing claims do not guarantee safety. Overall, choice C prioritizes patient safety and collaboration with healthcare providers.
Question 3 of 5
A client with schizoaffective disorder is having difficulty adhering to the medication regimen that requires the use of several agents. The client also is experiencing several side effects contributing to this nonadherence. The physician plans to change the client's medication. Which agent would the nurse anticipate that the physician would prescribe?
Correct Answer: B
Rationale: The correct answer is B: Aripiprazole. Aripiprazole is a second-generation antipsychotic that has a favorable side effect profile compared to other agents. It is commonly used in the treatment of schizoaffective disorder due to its effectiveness in managing both psychotic symptoms and mood symptoms. Aripiprazole has a lower risk of metabolic side effects compared to agents like olanzapine and clozapine, making it a suitable choice for a client experiencing side effects contributing to nonadherence. Lithium is not typically used as a first-line treatment for schizoaffective disorder. Clozapine is known for its potential serious side effects, such as agranulocytosis, requiring close monitoring. Olanzapine is associated with weight gain and metabolic issues, which may worsen nonadherence in this case.
Question 4 of 5
Documentation in a patient's chart shows, "Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, ‗I enjoy spending time with you.'" Which analysis is most accurate?
Correct Answer: C
Rationale: The correct answer is C: The patient's verbal and nonverbal messages are incongruent. This is correct because the patient's statement "I enjoy spending time with you" does not align with their fidgeting, tapping foot, covering face, and looking under the chair - all signs of discomfort or unease. The incongruence between the verbal and nonverbal cues suggests a potential discrepancy between what the patient is saying and how they are truly feeling.
A: The patient's behavior does not necessarily indicate positive feedback about the nurse's communication techniques.
B: There is no indication of the nurse misinterpreting the patient's behavior based on cultural differences.
D: There is no evidence to suggest that the patient is demonstrating psychotic behaviors based on the given information.
In summary, the correct answer highlights the importance of recognizing and interpreting both verbal and nonverbal cues to gain a comprehensive understanding of a patient's communication.
Question 5 of 5
A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Check for an allergy to eggs. This is crucial because some fat emulsions used in TPN solutions are derived from egg phospholipids, potentially causing an allergic reaction in patients with egg allergies. By checking for an egg allergy before administering the TPN with fat supplements, the nurse can prevent a serious allergic reaction in the client.
A: Piggyback 0.9 sodium chloride with TPN solution - Incorrect. This is not necessary for administering TPN with fat supplements.
C: Discuss the TPN solution for 12 hours - Incorrect. There is no need to discuss the TPN solution for such a long duration.
D: Monitor for hypoglycemia - Incorrect. While monitoring for hypoglycemia is important with TPN administration, checking for an egg allergy is more directly related to the addition of fat supplements in the TPN solution.