ATI RN
ATI Mental Health Proctored Exam Questions
Question 1 of 5
A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Changing the AP's assignment is appropriate because it addresses the AP's feelings of irritation in a professional manner. It ensures the client's care is not compromised due to the AP's negative emotions. It shows empathy towards the AP's concerns while prioritizing the client's well-being.
Summary:
A: Minimizes the client's feelings and does not address the AP's issue.
B: Focuses on the client's needs but does not address the AP's feelings.
C: Invalidates the AP's emotions and does not promote a supportive environment.
D: Addresses both the AP's feelings and the client's care effectively.
E, F, G: Not provided.
Question 2 of 5
A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Attachment to objects that spin. Children with autism spectrum disorder often exhibit repetitive behaviors or fixations on certain objects or activities, such as spinning objects. This behavior can provide comfort or a sense of predictability. It is important for the nurse to anticipate and address these specific needs in the child's care plan.
A, B, and C are incorrect because children with autism spectrum disorder typically struggle with social communication skills, including initiating conversations, engaging in imaginative play, and forming strong relationships with siblings and peers. These deficits in social interaction are common characteristics of autism spectrum disorder.
Question 3 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Implement consequences until the client takes the medication. In this scenario, the client's refusal to take prescribed medication could be detrimental to their health and well-being. By implementing consequences, the nurse is establishing boundaries and reinforcing the importance of following the treatment plan. This approach helps ensure the client's safety and promotes therapeutic compliance.
A: Informing the client that he does not have the right to refuse medication is not a therapeutic approach and could lead to a power struggle.
B: Administering the medication via IM injection without the client's consent violates their autonomy and could damage the nurse-client relationship.
C: Offering the medication at the next scheduled dose time may not address the client's refusal and could prolong the issue.
D: Implementing consequences is the most appropriate action to address the client's refusal and emphasize the importance of medication compliance.
Question 4 of 5
A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer?
Correct Answer: A
Rationale:
To calculate the correct dose, use the formula: Desired dose (25 mg) / Available dose (10 mg) x Volume available (5 mL).
Therefore, 25 mg / 10 mg x 5 mL = 12.5 mL. The correct answer is A (12.5 mL).
Choice B (10 mL) is incorrect as it does not account for the higher dose needed.
Choices C (15 mL) and D (5 mL) are incorrect as they do not follow the correct calculation formula.
Question 5 of 5
A nurse is teaching a client who has schizophrenia about the adverse effects of clozapine. Which of the following side effects should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. Clozapine is an atypical antipsychotic known to have a lower risk of causing tardive dyskinesia compared to typical antipsychotics. Tardive dyskinesia is a serious movement disorder characterized by involuntary repetitive movements of the face and body. It is crucial for the nurse to educate the client about this potential side effect to monitor and report any early signs. Increased salivation (
A), hypertension (
C), and photosensitivity (
D) are not commonly associated with clozapine use. This makes them incorrect choices in this scenario.