ATI RN
ATI RN Mental health 2019 NGN II Questions
Question 1 of 5
A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Correct Answer: B
Rationale: The correct answer is B: Crohn's disease. Aripiprazole can worsen gastrointestinal conditions like Crohn's disease due to its potential side effects of nausea, vomiting, and constipation. Hypothyroidism (choice
A) is not a contraindication. Seizure disorder (choice
C) is a concern but not a contraindication. Asthma (choice
D) is not directly impacted by aripiprazole.
Question 2 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: C
Rationale: The correct answer is C: Sodium 132 mEq/L. Low sodium levels can increase the risk of lithium toxicity as both sodium and lithium compete for reabsorption in the renal tubules. This can lead to increased lithium levels in the blood, potentially causing toxicity.
A: Aspartate aminotransferase within normal range, not directly related to lithium toxicity.
B: WBC within normal range, not directly related to lithium toxicity.
D: Elevated calcium levels do not directly increase the risk of lithium toxicity.
Question 3 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states,"I'm so worried that my mother is depressed. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "Tell me the reasons you think your mother is depressed." This response is the most appropriate because it allows the nurse to gather more information from the daughter, leading to a better understanding of the situation. By asking the daughter to provide reasons, the nurse can assess the client's symptoms and potential triggers for depression. This approach also demonstrates active listening and empathy, which are essential in building a therapeutic relationship.
Choice A is incorrect because not all older adults are diagnosed with depressive disorder as they age.
Choice B is incorrect as it dismisses the daughter's concerns and oversimplifies the treatment of depressive disorder.
Choice D is incorrect as it minimizes the daughter's worries and does not address the client's specific situation.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Sore throat. This finding is a priority to report because clozapine can cause agranulocytosis, which is a severe reduction in white blood cells, leading to increased risk of infection. A sore throat could indicate an infection, which can progress rapidly in a client with lowered immunity. Reporting this promptly allows for timely intervention to prevent serious complications.
Other choices are less urgent:
A: Random blood glucose of 130 mg/dL is slightly elevated but not a priority over infection risk.
B: Nausea is a common side effect of clozapine and can be managed symptomatically.
C: Heart rate of 104/min may be due to various factors and does not require immediate intervention.
Question 5 of 5
A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition.Which of the following is the appropriate nursing action?
Correct Answer: A
Rationale: The correct answer is A. Consulting the client directly aligns with respecting the client's autonomy and confidentiality. It allows the client to have control over the information shared about their condition. Consulting the family (
B) may violate the client's confidentiality. Contacting the provider (
C) could be appropriate but may not involve the client in the decision-making process. Contacting the facility legal department (
D) is not necessary at this stage and may escalate the situation unnecessarily.