ATI RN
ATI Mental Health Exam II Questions
Question 1 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct medications for treating bipolar disorder are Lithium, Carbamazepine, and Valproate. Lithium is a mood stabilizer commonly used to manage manic episodes. Carbamazepine and Valproate are also mood stabilizers effective in managing mood swings. Paroxetine is an antidepressant commonly used for depression and anxiety disorders, not specifically for bipolar disorder. Donepezil is used for Alzheimer's disease, not bipolar disorder. In summary, A, B, and C are the correct answers because they are all mood stabilizers commonly prescribed for bipolar disorder, while D and E are not indicated for this condition.
Question 2 of 5
A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?
Correct Answer: D
Rationale: The correct answer is D. Seclusion is contraindicated for a client following a suicide attempt due to the increased risk of self-harm in isolation. Seclusion may exacerbate the client's emotional distress and feelings of hopelessness, leading to potential reattempted suicide.
Choice A is incorrect because seclusion may be necessary to protect other clients from harm.
Choice B is incorrect as seclusion can provide a calming environment for a manic client.
Choice C is incorrect as seclusion may be necessary to prevent harm to staff from a client attempting to bite.
Question 3 of 5
A nurse is caring for an adolescent who has a history of violent behavior and has asked the nurse to keep confidential information about he desire to kill several classmates and a school teacher. Which of the following responses by the nurse is appropriate to give?
Correct Answer: D
Rationale: The correct response is D because the nurse has a duty to ensure the safety of not only the adolescent but also others who may be at risk. Confidentiality must be breached in situations where harm to self or others is disclosed. Sharing this information with the healthcare team allows for appropriate intervention and safety planning.
Choice A is incorrect because sharing with a psychiatrist alone may not ensure immediate safety.
Choice B is incorrect as safety takes precedence over confidentiality.
Choice C is incorrect as the nurse should prioritize the safety of potential victims.
Question 4 of 5
A nurse is assessing a client who has an eating disorder. Which of the following are manifestations of this disorder?
Correct Answer: B,D,E
Rationale: The correct manifestations of an eating disorder are Amenorrhea, Altered body image, and Bradycardia. Amenorrhea is common due to hormonal imbalances from malnutrition. Altered body image is a psychological component where individuals perceive themselves differently. Bradycardia can result from malnutrition and electrolyte imbalances. Hyperactivity is not typically associated with eating disorders but with other conditions like ADHD. Verbalized desire to gain weight is unlikely as individuals with eating disorders often desire to lose weight.
Question 5 of 5
A nurse is planning care for a client newly admitted with major depressive disorder. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Determine the client's need for assistance with grooming. This is essential in caring for a client with major depressive disorder as self-care activities like grooming may be neglected. By assessing the client's grooming needs, the nurse can ensure the client's hygiene and self-esteem are maintained.
A: Asking the client to create her own schedule of daily activities may be overwhelming and unrealistic for someone with major depressive disorder.
B: Teaching passive communication would not be beneficial as assertive communication is encouraged for clients with depression.
D: Limiting the client's involvement in unit activities may further isolate the client and worsen their depressive symptoms.
Therefore, choice C is the most appropriate action to prioritize in this scenario.