ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Question 1 of 5
The client presents to the emergency department with a headache in the back of the head, diaphoresis, and neck stiffness. The client's blood pressure measures 180/124 mm Hg and heart rate is 168 beats/min. The spouse says the client is currently prescribed 'something for depression' and denies any history of cardiac disease. The nurse should suspect the use of what medication?
Correct Answer: A
Rationale: The correct answer is A: A monoamine oxidase inhibitor (MAOI). MAOIs can cause a dangerous hypertensive crisis when taken with foods or medications containing tyramine. The client's symptoms of headache, diaphoresis, neck stiffness, and high blood pressure are consistent with a hypertensive crisis. MAOIs are known to interact with sympathomimetic drugs, leading to increased blood pressure and heart rate. SSRI, TCA, and atypical antipsychotics do not typically cause these symptoms or interact with tyramine in the same way as MAOIs.
Therefore, the nurse should suspect the use of an MAOI in this case.
Question 2 of 5
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's whereabouts at all times. This is important because sudden improvements in clients with depression can sometimes indicate a risk for suicide. By monitoring the client's whereabouts, the nurse can ensure the client's safety and prevent any potential harm.
Choice B is incorrect because rewarding the client for the change in behavior may reinforce the behavior in a way that is not appropriate for the client's mental health condition.
Choice C is incorrect because asking the client why her behavior has changed may not provide useful information and could potentially trigger negative emotions.
Choice D is incorrect because taking the client out of the facility without proper monitoring may pose a safety risk.
Question 3 of 5
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: B
Rationale: The correct answer is B: Identify the client's nutritional status. The nurse should prioritize this aspect of care because the client's significant weight loss, low weight, and distorted body image indicate a potential risk for malnutrition. Assessing the client's nutritional status will help determine the underlying causes of weight loss and guide the development of an appropriate care plan. Providing a structured environment (choice
A) may be important, but addressing the client's nutritional needs should take precedence. Planning a therapeutic diet (choice
C) should come after assessing the client's nutritional status. Requesting a mental health consult (choice
D) may be necessary eventually, but addressing the nutritional needs is the immediate priority.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Correct Answer: D,E
Rationale: The correct characteristics expected in OCD are perfectionist behavior and being unaware of compulsions. Perfectionism is a common trait in individuals with OCD, as they strive for flawlessness to reduce anxiety. Being unaware of compulsions is also typical, as individuals might not recognize their behaviors as excessive or irrational. Irrational fear of certain objects (
A) is more indicative of specific phobias, not necessarily OCD. Rule-conscious behavior (
B) can be a trait in OCD, but it is not a defining characteristic. Difficulty relaxing (
C) is a common symptom in anxiety disorders, but not specific to OCD.
Question 5 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: B
Rationale: The correct answer is B - A child whose parents answer questions for the child. This indicates potential parental control or manipulation, hindering the child's ability to express themselves or disclose any abuse. Children should be able to communicate independently with healthcare providers.
Choice A is incorrect as using the call light frequently may indicate medical needs.
Choice C is incorrect as obesity alone does not indicate abuse.
Choice D is incorrect as having visitors does not directly suggest abuse.