ATI RN
Mental Health Final ATI Questions
Question 1 of 5
A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing intervention will the nurse implement initially?
Correct Answer: B
Rationale: The correct answer is B because a lithium level of 1.7 mEq/L is above the therapeutic range (0.6-1.2 mEq/L), indicating potential toxicity. Instructing the patient to hold the next dose and contact the prescriber is the initial action to prevent further toxicity and adjust the medication regimen.
Choice A is incorrect because the level is above the therapeutic range.
Choice C is unnecessary unless the patient is experiencing severe symptoms.
Choice D is not the initial intervention; holding the next dose is more immediate.
Question 2 of 5
Light projected into the retina is believed to trigger changes in sleep patterns and quality of sleep. Therefore the nurse should suggest:
Correct Answer: C
Rationale: The correct answer is C: Limiting use of electronic devices in the hour before bedtime. Exposure to blue light emitted by electronic devices can disrupt the production of melatonin, a hormone that regulates sleep. By limiting electronic device use before bedtime, the nurse can help the individual maintain a more natural sleep-wake cycle.
Choice A is not directly related to the impact of light on sleep patterns.
Choice B, exercising before bedtime, can actually stimulate the body and make it harder to fall asleep.
Choice D, dimming screens, is a good practice but may not be as effective as completely avoiding electronic devices before bedtime to optimize sleep quality.
Question 3 of 5
Group members are having difficulty deciding what topic to cover in today's session. Which nurse leader response reflects autocratic leadership?
Correct Answer: A
Rationale: The correct answer is A because an autocratic leader makes decisions for the group without consulting them. In this response, the leader dictates the topic without considering input from group members.
Choice B involves democratic leadership by seeking input from everyone.
Choice C also reflects democratic leadership by allowing the group to reach a decision collectively.
Choice D demonstrates a collaborative approach, not autocratic, as the leader is working with the group to find a suitable topic.
Question 4 of 5
The nurse receives transfer of care report and recognizes the highest priority client need when learning what detail about the client?
Correct Answer: D
Rationale: The correct answer is D because the client's statement about the partner being 'sorry' for their breakup indicates potential harm or danger. This statement may suggest thoughts of retaliation or harm towards the partner, raising concerns for safety and potential violence. It should be the nurse's priority to assess the client's risk of harm to themselves or others.
Explanation of why the other choices are incorrect:
A: The client being silent during some interviews may indicate anxiety or distress, but it does not necessarily pose an immediate safety concern.
B: A history of preeclampsia with a past pregnancy is important for medical history but does not indicate an immediate risk to the client's safety.
C: The family bringing in magazines is not a critical detail that raises concerns about the client's safety or well-being.
Question 5 of 5
A client presents with the belief that they are going to marry Prince Harry. What delusion are they experiencing?
Correct Answer: A
Rationale: The correct answer is A: erotomaniac. This delusion involves falsely believing that someone of higher social status, like a celebrity or royalty, is in love with them. In this case, the client believes they will marry Prince Harry. This delusion is characterized by a romantic or sexual focus on the person of interest.
Choice B, grandiose delusion, involves an exaggerated sense of self-importance or power, not related to a specific person.
Choice C, somatic delusion, involves beliefs about one's body, health, or physical condition.
Choice D, persecutory delusion, involves feeling targeted, harassed, or conspired against, which is not applicable in this scenario.