ATI RN
ATI Mental Health Quiz Questions
Question 1 of 5
A nurse is caring for client who spent the past several minutes mumbling about being doomed to die and is now pacing in an increasingly agitated and angry manner. Which of the following actions is should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Attempt to reduce environmental stimuli. This is the appropriate action because the client is exhibiting signs of agitation and distress. By reducing environmental stimuli, such as noise and visual distractions, the nurse can help calm the client and prevent escalation of the situation. Administering medication, using physical restraints, or placing the client in seclusion should only be considered as a last resort when all other interventions have failed. These options can further agitate the client and compromise their autonomy. It is important for the nurse to prioritize non-pharmacological interventions and maintain a therapeutic environment to support the client's emotional well-being.
Question 2 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 3 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 4 of 5
A nurse is preparing to administer ceftriaxone 1 g IM every 12 hr. Available is ceftriaxone injection 450 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)
Correct Answer: 2.2
Rationale:
To calculate the mL needed for each dose of ceftriaxone 1g IM, we divide the total dose by the concentration of the injection: 1g = 1000mg. So, 1000mg ÷ 450mg/mL = 2.22 mL. Rounding to the nearest tenth gives us 2.2 mL. This ensures the correct dosage is administered. The other choices are incorrect because they do not accurately calculate the mL required for the 1g dose of ceftriaxone based on the concentration of the injection.
Question 5 of 5
A nurse is caring for a client who is taking clozapine. For which of the following findings should the nurse withhold the medication?
Correct Answer: B
Rationale: The correct answer is B: The client reports a sore throat. With clozapine, agranulocytosis is a potential serious adverse effect, presenting as sore throat, fever, malaise. The nurse should withhold the medication immediately and notify the healthcare provider for further evaluation.
Choices A, C, and D are not immediate concerns with clozapine and do not require withholding the medication. Weight gain (
A) may be a side effect but not an urgent issue. Constipation (
C) and dizziness (
D) are common side effects of clozapine but do not indicate a need to withhold the medication.