ATI RN
ATI Mental Health Proctored Exam 2023 Test Bank Questions
Question 1 of 5
A client with schizophrenia tells the nurse, 'I'm being watched constantly by the FBI because of my job.' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct response is B: "It must be frightening to feel like you're always been watched." This response validates the client's feelings without challenging the delusion directly. It shows empathy and builds rapport.
Choice A may inadvertently reinforce the delusion.
Choice C denies the client's experience and may lead to resistance.
Choice D uses clinical jargon and may be too direct, potentially causing the client to become defensive.
Question 2 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 3 of 5
Which is an effective nursing intervention to assist an angry patient learn to manage anger without violence?
Correct Answer: A
Rationale: The correct answer is A because it promotes cognitive-behavioral techniques to manage anger effectively. By helping the patient identify triggering thoughts, evaluate their validity, and replace them with reality-based thinking, nurses can assist in changing the patient's response to anger. This intervention encourages self-awareness and empowers the patient to develop healthier coping mechanisms.
Choice B is incorrect as it promotes punitive measures, which can escalate aggression and undermine trust between the patient and healthcare provider.
Choice C is incorrect as aversive conditioning methods like popping a rubber band on the wrist are not evidence-based and can be harmful.
Choice D is incorrect as medication should not be the first-line intervention for managing anger without violence.
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
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.