ATI RN
ATI Mental Health Quiz Questions
Question 1 of 5
A client with schizophrenia tells the nurse that he knows the doctor is trying to kidnap him and sell him as a slave. Which of the following responses by the nurse are therapeutic? (Select all that apply.)
Correct Answer: B,E
Rationale: The correct answers are B and E. Answer B ("Tell me more about your feelings towards the doctor") is therapeutic as it encourages the client to express their concerns and helps the nurse understand the client's perspective. Answer E ("You seem to be worried about seeing the doctor") demonstrates empathy and acknowledges the client's emotions, which can help build a therapeutic relationship.
Incorrect answers:
A: This response minimizes the client's concerns and does not address the underlying issue of the client's fears.
C: This response is dismissive and confrontational, which can worsen the client's paranoia.
D: This response is not empathetic and does not address the client's emotions or concerns.
Summary: The therapeutic responses focus on empathy, understanding, and building a trusting relationship with the client. Responses that dismiss, minimize, or confront the client's delusions are not helpful in this situation.
Question 2 of 5
The nurse would recognize that a client understands the provided education regarding risperidone when the client states which of the following
Correct Answer: C
Rationale: The correct answer is C. This statement demonstrates the client's understanding of the potential side effect of dizziness associated with risperidone, as dizziness is a common side effect of this medication. The client's plan to get out of bed slowly when feeling dizzy shows awareness of how to manage this side effect and prevent falls or injuries.
Choice A is incorrect because a severe headache coupled with confusion could be a sign of a serious adverse reaction that requires immediate medical attention, not just taking a nap.
Choice B is incorrect because abruptly stopping risperidone can lead to withdrawal symptoms and worsening of the client's condition. It is important to consult with the healthcare provider before making any changes to the medication regimen.
Choice D is incorrect because early signs of congestion are not typically associated with risperidone. It is important to report relevant symptoms to the doctor, but congestion is not a typical side effect of this medication.
Question 3 of 5
A nurse is preparing to administer furosemide 2 mg/kg/day IV bolus divided in equal doses every 8 hr to a toddler who weighs 22 lb. Available is furosemide injection 5 mg/mL. how many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)
Correct Answer: 1.3
Rationale:
To calculate the dose of furosemide, first convert the toddler's weight from lb to kg: 22 lb ÷ 2.2 = 10 kg.
Then, calculate the total daily dose: 2 mg/kg/day x 10 kg = 20 mg/day. Since the dose is divided into equal doses every 8 hours, divide the total daily dose by 3 (24 hours ÷ 8 hours) to get the dose per administration: 20 mg/day ÷ 3 = 6.67 mg/dose.
To convert this to mL, divide by the concentration of the injection: 6.67 mg ÷ 5 mg/mL = 1.334 mL, rounded to 1.3 mL.
Therefore, the correct answer is 1.3 mL per dose.
Summary of Incorrect
Choices:
- A, B, C, D, E, F, G: These choices did not correctly calculate the dose based on the toddler's
Question 4 of 5
A client is experiencing a severe psychotic episode, and is newly admitted to the psychiatric unit. Which action by the nurse should be priority?
Correct Answer: A
Rationale: The correct answer is A: Ensure the client does not injure themselves. Priority in psychiatric emergencies is to ensure safety. During a severe psychotic episode, the client may be at risk of harming themselves or others. By ensuring the client's safety first, the nurse can prevent potential harm. B: Providing information on diagnosis is important but not a priority during a crisis. C: Family therapy is beneficial but not immediate priority. D: Requesting medication is important but ensuring safety takes precedence.
Question 5 of 5
A patient on the psychiatric unit took his first dose of chlorpromazine last night. The following morning, he approaches the nursing station complaining of severe spasms in his neck and back. The psych nurse informs the provider, and can expect an order for which medication?
Correct Answer: D
Rationale: The correct answer is D: Benztropine. The patient is experiencing acute dystonia, a common extrapyramidal side effect of first-generation antipsychotic medications like chlorpromazine. Benztropine is an anticholinergic medication that helps counteract these symptoms by blocking acetylcholine, a neurotransmitter involved in muscle movement. Olanzapine (
A) is an atypical antipsychotic and would not be the first choice for treating acute dystonia. Flumazenil (
B) is a benzodiazepine receptor antagonist used for benzodiazepine overdose, not for dystonia. Fluphenazine (
C) is another first-generation antipsychotic and is not the preferred treatment for acute dystonia.