ATI RN
ATI Mental Health Practice Questions Questions
Question 1 of 5
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:
Correct Answer: A
Rationale: The correct answer is A: Lithium (Eskalith). Lithium is known to cause fluid and electrolyte imbalances by affecting sodium and water reabsorption in the kidneys. Patients on lithium therapy should be closely monitored for signs of dehydration, hyponatremia, and other electrolyte disturbances. Clozapine, Diazepam, and Amitriptyline do not typically cause significant fluid and electrolyte imbalances. Monitoring is still important, but not as critical as with lithium.
Question 2 of 5
Garret's wife of 8 years is divorcing him because the marriage never developed a warm or loving atmosphere. Garrett states in therapy, 'I have always been a loner,' and was never concerned about what others think. The nurse practitioner suggests that Garrett try a trial of bupropion (Wellbutrin) to:
Correct Answer: C
Rationale: Rationale for
Choice C (Increase the pleasure of living): Bupropion is an antidepressant that works by increasing dopamine and norepinephrine levels in the brain, which can help improve mood and overall sense of pleasure. Given Garrett's emotional flatness and lack of warmth in his relationships, bupropion can potentially enhance his ability to experience pleasure in life and improve his overall quality of life.
Summary of Incorrect
Choices:
A: Improving flat emotions is a potential benefit of bupropion, but the primary goal is not just to improve emotions, but to increase the pleasure of living.
B: While bupropion can sometimes help with sleep disturbances, the main reason for prescribing it in Garrett's case is to address his emotional flatness and lack of enjoyment in life.
D: Bupropion is not specifically indicated to prepare someone for group therapy; its main purpose in this scenario is to improve Garrett's overall sense of pleasure and enjoyment in life.
Question 3 of 5
Ling works as a registered nurse in an Alzheimer's care home. Ling has a specialized rapport-building technique she uses called reminiscence. She uses this technique by:
Correct Answer: D
Rationale: The correct answer is D because reminiscence involves encouraging individuals to recall past events, which can help trigger memories and improve cognitive function in Alzheimer's patients. By encouraging the residents to talk about pleasurable past events, Ling is engaging them in reminiscence therapy, which can enhance their well-being and quality of life.
Option A is incorrect because talking about Ling's own grandparents' lives doesn't directly engage the residents in reminiscing about their own past.
Option B is incorrect because playing music from the residents' formative years may evoke memories but does not actively engage them in reminiscence therapy.
Option C is incorrect because reviewing movies may provide entertainment but does not specifically target reminiscence and memory recall as effectively as encouraging the residents to talk about their own past experiences.
Question 4 of 5
What intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain?
Correct Answer: A
Rationale: The correct answer is A: referring the client for hypnosis. Hypnosis is an evidence-based nonpharmacologic intervention for chronic pain that can help manage pain perception and improve coping mechanisms. It is safe and effective for long-term pain management. Referring for hypnosis aligns with the holistic approach to chronic pain management.
Choice B: administering pain medication as prescribed is a pharmacologic intervention, not nonpharmacologic.
Choice C: removing all glaring lights and excessive noise can help create a comfortable environment but may not directly address chronic pain relief.
Choice D: using over-the-counter transcutaneous electric nerve stimulation is a nonpharmacologic intervention, but it may not be as effective for chronic pain as hypnosis.
Question 5 of 5
Student nurse DeShawna just began clinical on a behavioral health unit. What is an example of a statement DeShawna may make that demonstrates her need for assistance?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Completing a mental status exam is crucial in assessing behavioral health clients.
2. Failing to do so may result in missing important information about the client's mental state.
3. DeShawna's statement indicates a lack of understanding of the importance of a mental status exam.
4. This demonstrates her need for assistance in recognizing the significance of thorough assessments.
Summary of Incorrect
Choices:
A: Completing all parts of the nursing assessment is positive but does not specifically address the need for a mental status exam.
C: Gathering medication names is important but does not address the need for a mental status exam.
D: Assessing for suicidal ideation is crucial, but it does not address the need for a mental status exam, which is also essential in behavioral health assessments.