ATI RN
ATI Mental Health Practice Questions 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
Ling works as a registered nurse in an Alzheimer's care home. Ling has a specialized rapport-building technique she uses called reminiscence. She uses this technique by:
Correct Answer: D
Rationale: The correct answer is D because reminiscence involves encouraging individuals to recall past events, which can help trigger memories and improve cognitive function in Alzheimer's patients. By encouraging the residents to talk about pleasurable past events, Ling is engaging them in reminiscence therapy, which can enhance their well-being and quality of life. Option A is incorrect because talking about Ling's own grandparents' lives doesn't directly engage the residents in reminiscing about their own past. Option B is incorrect because playing music from the residents' formative years may evoke memories but does not actively engage them in reminiscence therapy. Option C is incorrect because reviewing movies may provide entertainment but does not specifically target reminiscence and memory recall as effectively as encouraging the residents to talk about their own past experiences.
Question 3 of 5
What intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain?
Correct Answer: A
Rationale: The correct answer is A: referring the client for hypnosis. Hypnosis is an evidence-based nonpharmacologic intervention for chronic pain that can help manage pain perception and improve coping mechanisms. It is safe and effective for long-term pain management. Referring for hypnosis aligns with the holistic approach to chronic pain management. Choice B: administering pain medication as prescribed is a pharmacologic intervention, not nonpharmacologic. Choice C: removing all glaring lights and excessive noise can help create a comfortable environment but may not directly address chronic pain relief. Choice D: using over-the-counter transcutaneous electric nerve stimulation is a nonpharmacologic intervention, but it may not be as effective for chronic pain as hypnosis.
Question 4 of 5
Student nurse DeShawna just began clinical on a behavioral health unit. What is an example of a statement DeShawna may make that demonstrates her need for assistance?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Completing a mental status exam is crucial in assessing behavioral health clients. 2. Failing to do so may result in missing important information about the client's mental state. 3. DeShawna's statement indicates a lack of understanding of the importance of a mental status exam. 4. This demonstrates her need for assistance in recognizing the significance of thorough assessments. Summary of Incorrect Choices: A: Completing all parts of the nursing assessment is positive but does not specifically address the need for a mental status exam. C: Gathering medication names is important but does not address the need for a mental status exam. D: Assessing for suicidal ideation is crucial, but it does not address the need for a mental status exam, which is also essential in behavioral health assessments.
Question 5 of 5
An 85-year-old client has become agitated and physically aggressive after having a stroke with right-sided weakness. The client is started on risperidone PO 0.5 mg qhs. Which is a priority nursing diagnosis for this client?
Correct Answer: A
Rationale: The correct answer is A: Risk for falls R/T right-sided weakness and sedation from risperidone. This is the priority nursing diagnosis because the client's physical aggression and right-sided weakness increase the risk of falls, which can lead to further injury. The sedative effect of risperidone can further impair the client's balance and coordination, exacerbating the risk. Addressing this risk is crucial to ensure the safety and well-being of the client. Summary of other choices: B: Activity intolerance R/T right-sided weakness - While this is a relevant concern, it is not the priority as the risk of falls takes precedence. C: Disturbed thought processes R/T acting-out behaviors - While the client's behavior may be a concern, addressing the immediate risk of falls is more critical. D: Anxiety R/T change in health status and dependence on others - While anxiety may be present, addressing the risk of falls is more urgent in this situation.