ATI RN
ATI Mental Health Proctored Exam 2023 Test Bank Questions
Question 1 of 5
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:
Correct Answer: A
Rationale: The correct answer is A: Lithium (Eskalith). Lithium is known to cause fluid and electrolyte imbalances by affecting sodium and water reabsorption in the kidneys. Patients on lithium therapy should be closely monitored for signs of dehydration, hyponatremia, and other electrolyte disturbances. Clozapine, Diazepam, and Amitriptyline do not typically cause significant fluid and electrolyte imbalances. Monitoring is still important, but not as critical as with lithium.
Question 2 of 5
A group of nursing students is reviewing system models used in caring for families. The students demonstrate understanding of the information when they identify which of the following as characteristic of the Calgary Family Model?
Correct Answer: C
Rationale: The correct answer is C: Family development. The Calgary Family Model focuses on understanding how families develop and change over time. It emphasizes the importance of recognizing different stages of family development, such as forming, norming, storming, and performing. By understanding these stages, nurses can provide more effective care tailored to the family's specific needs. A: Differentiation of self is a concept from Bowen's Family Systems Theory, not the Calgary Family Model. B: Sibling position is a concept from Adlerian Family Therapy, not the Calgary Family Model. D: Subsystems refer to the different components within a family system, but it is not the primary focus of the Calgary Family Model, which is on family development.
Question 3 of 5
A client with schizophrenia tells the nurse, 'I'm being watched constantly by the FBI because of my job.' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct response is B: "It must be frightening to feel like you're always been watched." This response validates the client's feelings without challenging the delusion directly. It shows empathy and builds rapport. Choice A may inadvertently reinforce the delusion. Choice C denies the client's experience and may lead to resistance. Choice D uses clinical jargon and may be too direct, potentially causing the client to become defensive.
Question 4 of 5
A nursing student observes an incorrect dosage of medication being given to a client receiving electroconvulsive therapy. To implement the ethical principle of veracity, which action would the nursing student take?
Correct Answer: B
Rationale: The correct answer is B. By informing the student's instructor and the client's primary nurse, the nursing student upholds the ethical principle of veracity, which is being truthful and honest. This action ensures that the correct dosage of medication is administered to the client, preventing potential harm. Documenting the situation is essential for accurate record-keeping and accountability. Choice A is incorrect because keeping the information confidential would go against the ethical principle of veracity and could potentially harm the client. Choice C is incorrect as the decision about actions should involve healthcare professionals to ensure the client's safety and well-being, not solely the client. Choice D is incorrect because even if the client was not harmed immediately, incorrect medication dosages could still have long-term consequences, making it crucial to report the incident for proper evaluation and prevention.
Question 5 of 5
A nurse is preparing a presentation for an adolescent and young adult community group about stalking. Which group would the nurse identify as having the highest risk of being stalked?
Correct Answer: D
Rationale: The correct answer is D (ages 18 to 24 years Women) because young women in this age group are statistically at the highest risk of being stalked. Factors such as increased social media use, dating relationships, and independence make them vulnerable. They may also be more likely to encounter obsessive behaviors from current or former partners. Choice A (Boys and young men) is less likely as stalking affects women more frequently. Choice B (ages 12 to 21 years Men) is less likely as younger age groups are generally at a lower risk. Choice C (ages 24 to 28 years) is less likely as the risk tends to decrease slightly as individuals get older.