ATI RN
ATI RN Mental Health 2023 Questions
Question 1 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is a form of aversion therapy, which helps the client interrupt the obsessive thought pattern by associating it with a negative physical sensation. By snapping the rubber band on the wrist, the client creates a negative consequence for the behavior, making it less desirable to continue the checking behavior. This helps in breaking the cycle of obsessive thoughts and compulsive behaviors associated with obsessive-compulsive disorder.
A: Asking a family member to check the locks enables avoidance rather than addressing the underlying issue.
B: Keeping a journal may help increase awareness but does not actively interrupt the thought pattern.
C: Focusing on abdominal breathing is a relaxation technique that may help manage anxiety but does not directly address the obsessive behavior.
E, F, G: These options are not provided in the question and are therefore irrelevant.
Question 2 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale:
Correct
Answer: 10 mL
Rationale:
To calculate the mL per dose, divide the total daily dose by the concentration of the medication.
40 mg per day ÷ 10 mg/5 mL = 8 mL per dose
Round to the nearest whole number, the nurse should administer 10 mL per dose.
Summary of other choices:
A. Incorrect. No value provided.
B. Incorrect. No calculation shown.
C. Incorrect. No relevant information given.
D. Incorrect. No explanation provided.
E. Incorrect. No relevant answer.
F. Incorrect. No reasoning provided.
G. Incorrect. No calculation or reasoning shown.
Question 3 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because It's too noisy.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep conversations and activities to a minimum during the nighttime. The rationale behind this is that minimizing noise and activities during nighttime promotes a restful environment conducive to sleep. This approach respects the client's need for a quiet environment while also addressing their sleep concern.
Choice A is incorrect because sleeping during the day may disrupt the client's circadian rhythm and is not a sustainable solution.
Choice C is incorrect as turning on the television may not necessarily address the underlying issue of noise disturbance and may even disrupt sleep further.
Choice D is incorrect as it dismisses the client's valid concern and does not offer a practical solution to address the noise concern.
Question 4 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: D
Rationale: The correct answer is D: Chlordiazepoxide. This medication is a benzodiazepine used to manage acute alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. It acts on the central nervous system to produce a calming effect. Buprenorphine (
A) is used for opioid dependence, not alcohol withdrawal. Bupropion (
B) is an antidepressant and smoking cessation aid. Disulfiram (
C) is used as a deterrent to alcohol consumption by causing unpleasant effects when alcohol is consumed.
Question 5 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior every 15 min. This is crucial for monitoring the client's condition and assessing the effectiveness of seclusion. Documenting every 15 minutes allows the nurse to track changes in behavior, ensure safety, and provide necessary interventions promptly. Obtaining the provider's prescription within 60 minutes (
B) is important but not as immediate as documenting behavior. Monitoring vital signs (
C) is essential but should be done more frequently for a physically aggressive client in seclusion. Offering food and fluids (
D) is not a priority in this situation.