ATI RN
ATI Engage Mental Health Personality Disorders Quizlet Questions
Question 1 of 5
A nurse is talking with a patient, and 5 minutes remain in the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you." The nurse should
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the interrupting patient's needs while respecting the current patient's time. By informing the interrupting patient that the current session has 5 more minutes, the nurse sets clear expectations and boundaries. This approach prioritizes both patients' needs and manages the situation effectively. A: Inviting the interrupting patient to join in the session with the current patient may not be appropriate as it could compromise the current patient's confidentiality and disrupt the ongoing session. B: Directly refusing to talk with the interrupting patient may come off as dismissive and unprofessional, potentially escalating the situation. C: Ending the current session abruptly to attend to the interrupting patient disregards the current patient's time and needs, leading to a poor patient experience.
Question 2 of 5
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, 'My throat is sore, and I feel weak.' The nurse assesses the client's vital signs and finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain which laboratory test?
Correct Answer: A
Rationale: The correct answer is A: A white blood cell count. Clozapine can cause agranulocytosis, a serious condition characterized by a severe decrease in white blood cells. The client's symptoms of sore throat, weakness, fever, and recent initiation of clozapine raise suspicion for agranulocytosis. A white blood cell count is crucial to monitor for this adverse effect. B: Liver function studies are not the priority in this case, as the symptoms and findings are more indicative of a potential hematologic issue than liver dysfunction. C: Serum potassium level is not the most relevant test to order in this scenario, as the client's symptoms and history are more concerning for a hematologic issue rather than a potassium imbalance. D: Serum sodium level is not the most appropriate test to request, as the client's symptoms and history do not suggest a primary issue related to sodium imbalance.
Question 3 of 5
Which of the following actions reflect the nurse's role of advocate in an inpatient psychiatric setting? Select all that apply.
Correct Answer: A
Rationale: Rationale: A: The nurse advocating for a mentally ill client's access to mental health services aligns with the advocacy role, ensuring the client's needs are met. B: Focusing on improving self-care knowledge is important but not necessarily advocating for the client's rights or needs. C: Explaining unit rules and ensuring comfort in the environment is more about patient education and safety than advocacy. D: Monitoring for medication side effects is crucial, but it does not specifically address advocating for the client's rights or needs.
Question 4 of 5
The nurse is reviewing the assessment data of a patient diagnosed with a mental illness. The patient is to be prescribed medication to treat the illness. The nurse would identify changes in which laboratory values as being the least significant?
Correct Answer: A
Rationale: Correct Answer: A (Hemoglobin) Rationale: Hemoglobin levels are not typically affected by medications used to treat mental illnesses. ALT, BUN, and serum creatinine levels are commonly monitored due to potential medication side effects on liver and kidney function. Hemoglobin is primarily related to oxygen-carrying capacity and anemia, not directly affected by mental health medications.
Question 5 of 5
The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Major depression. Physical neglect during childhood can lead to feelings of worthlessness and hopelessness, which are common symptoms of major depression. The nurse should assess the client for signs such as persistent sadness, changes in appetite or sleep, low energy, and thoughts of suicide. B: Schizophrenia is a severe mental disorder characterized by hallucinations and delusions, not directly related to childhood neglect. C: Narcissistic personality disorder is a personality disorder characterized by a grandiose sense of self-importance, not typically linked to childhood neglect. D: Panic disorder is an anxiety disorder characterized by recurrent panic attacks, not directly associated with childhood neglect.