ATI RN
ATI RN Mental Health Proctored Exam Questions
Question 1 of 5
A client who is receiving lithium comes to the clinic for an evaluation. During the visit, the client reports a fine hand tremor. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Fine hand tremor is a common side effect of lithium. 2. Assisting the client in minimizing exposure to stressors is most appropriate as stress can exacerbate tremors. 3. Stress management can help reduce tremors without needing to adjust medication dosage. 4. Obtaining blood drug level is not necessary for managing tremors. 5. Taking medication with meals or elevating hand would not directly address the underlying cause of tremors.
Question 2 of 5
According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention?
Correct Answer: B
Rationale: The correct answer is B because Maslow's hierarchy of needs prioritizes safety and security needs. Hostile and angry behaviors threaten the safety of other clients and staff, requiring immediate intervention. Choice A relates to social needs, Choice C relates to belongingness needs, and Choice D relates to self-esteem needs, which are lower in the hierarchy compared to safety needs.
Question 3 of 5
When a nurse communicates openly and is self-congruent, authentic, and transparent, the nurse is exhibiting which communication-centered skill?
Correct Answer: C
Rationale: The correct answer is C: Genuineness. When a nurse communicates openly and is self-congruent, authentic, and transparent, they are demonstrating genuineness by being true to themselves and their feelings. This helps build trust and rapport with patients. Respect (A) focuses on valuing others, empathy (B) involves understanding and sharing the feelings of others, and correctness (D) pertains to providing accurate information. Genuineness is the most appropriate skill in this context as it emphasizes sincerity and honesty in communication.
Question 4 of 5
A client who is receiving lithium comes to the clinic for an evaluation. During the visit, the client reports a fine hand tremor. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Fine hand tremor is a common side effect of lithium. 2. Assisting the client in minimizing exposure to stressors is most appropriate as stress can exacerbate tremors. 3. Stress management can help reduce tremors without needing to adjust medication dosage. 4. Obtaining blood drug level is not necessary for managing tremors. 5. Taking medication with meals or elevating hand would not directly address the underlying cause of tremors.
Question 5 of 5
A nurse is teaching a group of hospitalized clients who have co-occurring disorders involving cognitive disorders and alcoholism about the relapse cycle. Which statement would the nurse most likely include during this teaching session?
Correct Answer: A
Rationale: The correct answer is A because it accurately describes the relapse cycle for individuals with co-occurring cognitive disorders and alcoholism. Step 1: Discharged from the hospital, leading to using alcohol instead of medication. Step 2: Alcohol use leads to resurfacing of psychiatric symptoms. Step 3: Rehospitalization and control of symptoms with medications. Step 4: Cycle repeats after discharge. Other choices lack the comprehensive explanation of the relapse cycle, such as hallucinations being the sole trigger (B), unrelated alcoholism and psychiatric illness (C), and the cycle being solely triggered by attempts to stop drinking (D).