ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
A nurse has engaged in self-awareness and has come to understand his own personal beliefs and attitudes and has recognized some prejudicial ideas. Based on this understanding, which of the following would the nurse now be able to accomplish?
Correct Answer: C
Rationale: Rationale: C is correct because by recognizing prejudicial ideas, the nurse can work on changing learned behaviors through self-reflection and education. This process leads to personal growth and the ability to provide unbiased care. A is incorrect because self-awareness is necessary but not sufficient for a therapeutic relationship. B is incorrect as influencing patients with biases is unethical. D is incorrect as formulating values and morals is a continuous process not solely dependent on self-awareness.
Question 2 of 5
When describing mental health to a community group ranging in age between 25 and 50 years, the nurse includes information about the developmental concepts that are often readdressed when life stresses occur. Which developmental concept would the nurse be least likely to address?
Correct Answer: B
Rationale: The correct answer is B: Ego integrity. Ego integrity is a developmental concept typically associated with late adulthood (65+ years) according to Erikson's psychosocial theory. In the age range of 25-50 years, individuals are more focused on addressing challenges related to identity, generativity, and intimacy. Identity refers to establishing a sense of self, generativity involves contributing to society and future generations, and intimacy pertains to forming close relationships. Ego integrity, on the other hand, involves reflecting on one's life and accepting the outcomes, which is not a primary focus for individuals in the 25-50 age group.
Question 3 of 5
The nurse is reviewing the medical records of several patients diagnosed with major depression. The nurse identifies which patient as least likely to commit suicide?
Correct Answer: D
Rationale: The correct answer is D, the married man. Research shows that individuals who are married have a lower suicide risk compared to those who are single, divorced, or widowed. Marriage provides social support, stability, and a sense of belonging which can act as protective factors against suicide. Divorced individuals (choice A) and widowed individuals (choice B) may experience loneliness and grief which can increase their suicide risk. Single individuals (choice C) may lack the support system that marriage provides, making them more vulnerable to suicide. Therefore, the married man is least likely to commit suicide due to the protective factors associated with being in a marital relationship.
Question 4 of 5
A client with depression is prescribed fluoxetine. On a return visit to the clinic, the client tells the nurse that he also just started taking St. John's wort to feel better. The nurse assesses the client for which of the following?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. This is because both fluoxetine and St. John's wort increase serotonin levels in the brain, leading to a risk of serotonin syndrome - a potentially life-threatening condition characterized by symptoms such as confusion, agitation, sweating, and muscle twitching. Water intoxication (A) is not typically associated with these medications. Increased depressive symptoms (B) may occur if the client stops taking fluoxetine abruptly, but not specifically due to the combination with St. John's wort. Hypertensive crisis (D) is not a common concern with these medications.
Question 5 of 5
A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: B
Rationale: The correct answer is B: "I should eat small frequent meals if I get nauseated." This is correct because methadone can cause nausea as a side effect, and eating small, frequent meals can help alleviate this symptom. Option A is incorrect because alcohol should be avoided while on methadone therapy. Option C is incorrect as methadone should be taken with food to reduce gastrointestinal side effects. Option D is incorrect as constipation, not diarrhea, is a common side effect of methadone therapy.