ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 5
A nurse is providing care to a client with Alzheimer's disease who is exhibiting suspiciousness and delusional thinking. Which of the following would be most important for the nurse to do with this client?
Correct Answer: D
Rationale: The correct answer is D, determining the trigger for the distorted thinking. This is important as it helps identify potential causes of the client's suspiciousness and delusional thinking, allowing for targeted interventions. Option A may increase client distress. Option B may lead to conflict. Option C may invalidate the client's experiences.
Question 2 of 5
A nurse is caring for a client receiving IV moderate sedation with midazolam. The client has a respiratory rate of 9/min and is not responding to commands. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Implement positive pressure ventilation. This action is appropriate because the client's respiratory rate of 9/min indicates hypoventilation, which can lead to hypoxemia and respiratory arrest. Positive pressure ventilation helps support adequate oxygenation and ventilation. Placing the client in a prone position (choice A) can further compromise breathing. Nasopharyngeal suctioning (choice C) is not indicated unless airway obstruction is confirmed. Administering flumazenil (choice D) is contraindicated in clients with significant respiratory depression due to the risk of precipitating seizures.
Question 3 of 5
Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce Ted's mania the psychiatric nurse practitioner recommends:
Correct Answer: D
Rationale: The correct answer is D: Lurasidone (Latuda). Lurasidone is an atypical antipsychotic commonly used to treat bipolar disorder. It helps stabilize mood and reduce symptoms of mania. Given Ted's history of bipolar I and manic episodes, lurasidone is an appropriate choice. Clonazepam (A) is a benzodiazepine used for anxiety, not mania. Fluoxetine (B) is an SSRI antidepressant, which can potentially worsen manic symptoms. Electroconvulsive therapy (C) is typically reserved for severe cases or when other treatments have failed, and may not be necessary in Ted's case. Lurasidone (D) is the most suitable option for managing Ted's mania while considering his medical history and current treatment.
Question 4 of 5
Many people allow life circumstances to dictate their amount of sleep instead of recognizing sleep as a priority. Which statement will the nurse recognize as progress in the patient's sleep hygiene program?
Correct Answer: D
Rationale: The correct answer is D because removing the television from the bedroom is a positive step towards improving sleep hygiene. TVs emit blue light, which can disrupt sleep. This action creates a better sleep environment. A: Going to bed when not sleepy can lead to frustration, making it harder to fall asleep. B: Consuming alcohol before bed can disrupt sleep patterns and quality. C: Taking daily naps can interfere with the ability to fall asleep at night and disrupt the sleep-wake cycle.
Question 5 of 5
The nurse is planning care, which includes a dual-diagnosis group. Which patient would be appropriate for this group? The patient with:
Correct Answer: D
Rationale: The correct answer is D: Schizophrenia and alcohol abuse. This combination is appropriate for a dual-diagnosis group because it involves both a severe mental illness (schizophrenia) and a substance abuse issue (alcohol abuse). Patients with schizophrenia often have co-occurring substance abuse disorders, making them suitable for a dual-diagnosis group to address both issues simultaneously. This group can provide comprehensive treatment and support for individuals struggling with complex mental health and substance abuse issues. Choices A, B, and C are incorrect because they do not involve the combination of a severe mental illness and a substance abuse issue, which is essential for a dual-diagnosis group. Choice A (Depression and suicidal tendencies) may benefit from a different type of group focused on mood disorders and suicide prevention. Choice B (Anxiety and frequent migraine headaches) may require a group focused on stress management and pain coping strategies. Choice C (Bipolar disorder and anorexia nervosa) may benefit from a group addressing