ATI RN
Quizlet Mental Health ATI Questions
Question 1 of 5
A client with schizoaffective disorder is prescribed clozapine to treat her symptoms. Which of the following instructions would the nurse provide?
Correct Answer: C
Rationale: The correct answer is C because weight gain is a common side effect of clozapine. Monitoring weight is essential to catch any rapid weight gain, which could indicate potential metabolic issues. This instruction is crucial for the client's safety and well-being. A is incorrect because dry mouth is a common side effect of clozapine, but it is not typically necessary to keep a detailed record of the frequency and duration of this side effect. B is incorrect because changes in urine color are not typically associated with clozapine use. D is incorrect because experiencing drowsiness is a common side effect of clozapine and does not necessarily require discontinuation of the medication.
Question 2 of 5
A client with insomnia is taught to avoid watching television, eating, and doing work in the bedroom. Which technique is being used?
Correct Answer: D
Rationale: The correct answer is D: Stimulus control. This technique involves associating the bedroom with sleep by only engaging in sleep-related activities in that space. By avoiding activities like watching TV or working in the bedroom, the client strengthens the association between the bedroom and sleep, improving sleep efficiency. A: Sleep restriction involves limiting the time spent in bed to increase sleep drive. B: Relaxation training focuses on reducing physical and mental tension to promote better sleep. C: Cognitive behavior therapy targets changing negative thought patterns related to sleep.
Question 3 of 5
A daughter brings her mother, who has Alzheimer's disease, to the clinic. The client has been taking a cholinesterase inhibitor medication for 1 month. When assessing the client, the nurse would be alert for the possibility of which side effect?
Correct Answer: A
Rationale: The correct answer is A: Gastrointestinal distress. Cholinesterase inhibitors, commonly used to treat Alzheimer's disease, can cause gastrointestinal side effects such as nausea, vomiting, diarrhea, and loss of appetite. This occurs due to the increased cholinergic activity in the gastrointestinal tract. Monitoring for gastrointestinal distress is crucial to ensure the client's well-being and may require dose adjustments or additional interventions. Incorrect choices: B: Mild headache - Cholinesterase inhibitors are not typically associated with causing headaches as a side effect. C: Muscle tics - Cholinesterase inhibitors do not typically cause muscle tics as a side effect. D: Blurred vision - While blurred vision can be a side effect of some medications, it is not commonly associated with cholinesterase inhibitors used in Alzheimer's disease treatment.
Question 4 of 5
A nurse is working with a forensic client on early recognition. On which area would the nurse and client focus?
Correct Answer: B
Rationale: The correct answer is B: Aggressive behavior signals. In forensic settings, early recognition of aggressive behavior signals is crucial for preventing potential harm. The nurse and client would focus on identifying triggers, developing coping strategies, and establishing safety plans. This approach aligns with the proactive nature of forensic nursing to prevent escalation of violence. Choices A, C, and D are incorrect because medication side effects, informed consent violations, and discharge needs are important but not directly related to early recognition of potential violence in forensic settings.
Question 5 of 5
Nurse is performing dressing change for client with a sacral wound using negative pressure wound therapy. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: First, the nurse should prioritize safety and infection control by donning sterile gloves to prevent contamination during the dressing change. This is essential to maintain asepsis and prevent wound infection. Applying skin preparation (A) can wait until after the gloves are on. Normal saline (B) is typically used during wound cleaning but is not the first step. Determining pain level (D) is important but not the immediate priority for this procedure.