ATI RN
ATI Proctored Mental Health 2023 Questions
Question 1 of 5
A client with schizophrenia is prescribed clozapine because other prescribed medications have been ineffective. After teaching the client and family about the drug, the nurse determines that the teaching was successful when they state which of the following?
Correct Answer: B
Rationale: The correct answer is B: "We'll need to make sure that he has his blood count checked at least weekly." Rationale: 1. Clozapine can cause agranulocytosis, a potentially life-threatening condition characterized by a severe decrease in white blood cells. 2. Monitoring blood counts weekly is crucial to detect early signs of agranulocytosis and intervene promptly. 3. Regular blood count monitoring allows for timely adjustments in medication dosage to prevent serious complications. Summary: A: Although monitoring the client's heart is important, regular electrocardiograms are not specifically required for clozapine. C: Smoking does affect clozapine levels, but this choice does not address the crucial need for blood count monitoring. D: Weight loss is a potential side effect of clozapine, but it is not the most critical monitoring parameter for this medication.
Question 2 of 5
A nurse wants to enhance growth of a patient by showing positive regar The nurse's action most likely to achieve this goal is
Correct Answer: B
Rationale: Step-by-step rationale for choosing answer B: 1. Positive regard involves showing empathy and support. 2. Staying with a tearful patient shows empathy and emotional support. 3. Emotional support can enhance patient growth and well-being. 4. Making rounds, administering medication, and examining personal feelings do not directly show empathy or emotional support. Summary: - Choice A is incorrect as making rounds is a routine task, not focused on emotional support. - Choice C is incorrect as administering medication is a clinical task, not centered on emotional support. - Choice D is incorrect as examining personal feelings does not directly provide emotional support to the patient.
Question 3 of 5
A woman diagnosed with obsessive-compulsive disorder comes to the clinic with her husband. During the visit, the husband states, She's always checking and rechecking to make sure that all of the appliances are turned off before we go out. It's nerve-wracking. We can never get out of the house on time. Isn't checking once enough? An understanding of which of the following would the nurse need to incorporate into the response?
Correct Answer: B
Rationale: The correct answer is B: The client performs the ritual to relieve anxiety temporarily. In obsessive-compulsive disorder, repetitive behaviors such as checking are done to alleviate distress or anxiety, providing temporary relief. This behavior is a coping mechanism to manage overwhelming feelings of anxiety. The husband's observation of the wife's constant checking behavior indicates that she is engaging in this ritual to reduce her anxiety. Understanding this aspect is crucial for the nurse to provide appropriate support and interventions to help the client manage her symptoms effectively. Choice A (The client is attempting to exert control over the situation) is incorrect because the primary motivation behind compulsive behaviors in OCD is not about exerting control but rather reducing anxiety. Choice C (The woman's behavior reflects a need for safety) is incorrect as the main driver behind OCD behaviors is not necessarily related to safety concerns but rather to managing anxiety. Choice D (The woman is attempting to use thought stopping to decrease her behavior) is incorrect because thought stopping is a cognitive technique that is
Question 4 of 5
Which statement made by the primary caregiver of a patient diagnosed with dementia demonstrates accurate understanding of providing the patient with a safe environment?
Correct Answer: C
Rationale: The correct answer is C: "We've installed locks on all the outside doors." This statement shows an understanding of the need to prevent the patient with dementia from wandering off and getting lost or injured. Installing locks on outside doors helps to ensure the patient's safety by limiting their ability to leave the house unsupervised. This measure is crucial in providing a secure environment for someone with dementia. Explanation: A: The statement about the local police knowing the patient has wandered off before does not address the immediate need to prevent wandering and ensure safety. B: Keeping the noise level low in the house may be helpful for a patient with dementia, but it does not directly address the safety concern of wandering. D: Attaching the telephone number to the patient's shirt pocket is a good safety measure, but it does not address the primary concern of preventing the patient from wandering off.
Question 5 of 5
A nurse is assessing a client who is a survivor of abuse. Which of the following would be most appropriate to use when conducting a lethality assessment?
Correct Answer: A
Rationale: The correct answer is A: Danger Assessment Screen. This tool is specifically designed to assess the risk of lethality in individuals who have experienced abuse. It includes questions related to the severity and frequency of abuse, as well as other risk factors such as access to weapons and history of threats. It helps identify clients at high risk of harm or death. B: Abuse Assessment Screen is a screening tool to identify abuse but does not specifically focus on lethality risk. C: Burgess-Partner Abuse Scale is a measure of the frequency and severity of intimate partner violence, but it does not assess lethality risk. D: Beck Depression Inventory is a tool to assess the severity of depression and is not designed to evaluate the risk of harm or death in abuse survivors.