ATI RN
ATI RN Mental Custom Health Next Gen Questions
Question 1 of 5
Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders?
Correct Answer: C
Rationale: The correct answer is C: Antidepressants. Antidepressants are commonly prescribed to treat anxiety and anxiety disorders due to their ability to regulate neurotransmitters like serotonin and norepinephrine, which play a role in mood regulation. Antipsychotics (
A) are more commonly used to treat conditions like schizophrenia, mood stabilizers (
B) are used for bipolar disorder, and cholinesterase inhibitors (
D) are used for conditions like Alzheimer's disease. Antidepressants directly target the symptoms of anxiety and are considered a first-line treatment, making them the most appropriate choice for managing anxiety disorders.
Question 2 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D: Escort the client to his room. This intervention is appropriate as it addresses the behavior causing annoyance while also ensuring the client's needs are met in a compassionate and non-punitive manner. By escorting the client to his room, the nurse can provide a safe and quiet environment for the client to calm down and reduce the echolalia behavior. This approach respects the client's dignity and promotes a therapeutic environment. The other choices are incorrect because avoiding recognizing the behavior (
A) does not address the issue, isolating the client (
B) may worsen the client's symptoms and social isolation, administering a sedative (
C) should only be done as a last resort due to potential side effects and ethical considerations.
Question 3 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: The correct answer is D: Teach the client to develop a plan for daily structured activities. This intervention addresses the symptoms of psychomotor retardation, hypersomnia, and amotivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can counteract the symptoms and improve functioning. Encouraging exercise (
A) may be beneficial, but developing a structured plan for daily activities is more directly targeted at addressing the specific symptoms presented. Developing a list of pleasurable activities (
B) may not provide the necessary structure and may not address the underlying issues contributing to the client's symptoms. Providing education on methods to enhance sleep (
C) may be helpful in addressing the hypersomnia symptom but may not fully address all aspects of the client's presentation.
Question 4 of 5
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during the working phase of group development?
Correct Answer: C
Rationale: During the working phase of group development, the focus is on achieving the group's goals.
Choice C is correct as it involves discussing ways to use new coping skills learned, which aligns with the working phase where members actively engage in problem-solving and skill-building. This approach helps group members apply their learning to real-life situations and promotes personal growth.
Choice A is incorrect because establishing rapport typically occurs during the initial orientation phase.
Choice B is incorrect as clarifying roles and responsibilities is more relevant to the initial and transition phases.
Choice D is incorrect because helping clients identify problem areas is usually part of the exploration phase, not the working phase where active problem-solving occurs.
Question 5 of 5
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse’s station in a laterally contracted position, he states that something has made his body contort into a monster. What action should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia. Dystonia is a movement disorder characterized by involuntary muscle contractions, which can be a side effect of antipsychotic medications like risperidone. Benztropine is commonly used to manage dystonia by blocking acetylcholine receptors in the brain. By administering benztropine, the nurse can help alleviate the client's symptoms of muscle contractions and provide relief.
Incorrect options:
A: Medicate the client with thioridazine - Thioridazine is not the appropriate medication for managing dystonia.
B: Offer a hot pack for muscle spasms - While heat therapy can be helpful for muscle relaxation, it does not address the underlying cause of dystonia.
D: Direct client to occupational therapy - Occupational therapy may be beneficial for overall mental health, but it does not specifically address the acute symptoms of dystonia.
Overall, option