ATI RN
ATI N200 Mental Health Exam 1 Questions
Question 1 of 5
A client diagnosed with schizophrenia is prescribed clozapine. The nurse teaches the client and family to call the physician immediately if:
Correct Answer: A
Rationale: The correct answer is A because clozapine, an antipsychotic medication, can suppress the immune system, leading to an increased risk of infection. Infections can be severe and life-threatening for clients on clozapine. This risk necessitates immediate medical attention to prevent complications.
Choices B, C, and D are incorrect because they do not pose immediate life-threatening risks associated with clozapine use. Hallucinations decreasing, appetite decreasing, or experiencing insomnia are common side effects of the medication and may not require immediate intervention.
Question 2 of 5
A client tells the nurse, 'I feel bad because my mother does not want me to return home after I leave the hospital.' Which nursing response is most therapeutic?
Correct Answer: D
Rationale: The correct answer is D because it reflects active listening and empathy. By restating the client's feelings, the nurse validates their emotions and shows understanding. This response encourages further exploration of the client's feelings and fosters a therapeutic nurse-client relationship.
Choice A is incorrect because it assumes the mother is understanding without acknowledging the client's feelings.
Choice B minimizes the client's emotions by generalizing them.
Choice C suggests assumptions about the mother's feelings and does not address the client's emotions directly.
Question 3 of 5
A young client asks the nurse for their telephone number, with the intent of calling to schedule a date. Which of the following responses would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: "This is a professional relationship, and we need to be clear on that." This response sets boundaries and reinforces the professional nature of the nurse-client relationship. It communicates respect for professional ethics and avoids any potential misunderstandings.
Choice A is incorrect because it implies a potential personal relationship based on the client's recovery, which is inappropriate.
Choice B is incorrect as it only addresses hospital policy without emphasizing the professional nature of the relationship.
Choice D is incorrect because it discloses personal information about the nurse's marital status, which is unnecessary and could potentially lead to further inappropriate interactions.
Question 4 of 5
Upon assessment of the lungs, the nurse hears continuous, high-pitched, musical sounds. This should be documented as:
Correct Answer: A
Rationale: The correct answer is A: Wheezes. Wheezes are continuous, high-pitched, musical sounds heard during expiration, indicating narrowed airways. This suggests conditions like asthma or COPD. Rhonchi (
B) are low-pitched, coarse sounds caused by secretions in larger airways. Fine crackles (
C) are discontinuous, high-pitched sounds heard during inspiration, indicating fluid in the smaller airways. Vesicular sounds (
D) are normal breath sounds heard over most of the lung fields.
Therefore, in this scenario, the presence of continuous, high-pitched sounds aligns with wheezes, making it the correct choice.
Question 5 of 5
The nurse notices a client wandering in the hospital hall giggling, with bizarre behavior that is annoying and frightening other clients. A priority in caring for her is to:
Correct Answer: D
Rationale: The correct answer is D: Provide a safe environment. This is the priority because the client's behavior poses a risk to herself and others. By ensuring a safe environment, potential harm can be prevented. Encouraging social interaction (
A) may not be appropriate given the client's current behavior. Discussing the behavior (
B) may not be effective if the client is not in a state to engage in a meaningful conversation. Giving information about the illness (
C) may not address the immediate safety concern.
Therefore, the priority is to establish a safe environment first.