ATI RN
Mental Health Practice Questions Questions
Question 1 of 4
The nurse is assessing a client who has received a tentative diagnosis of delirium. The nurse is explaining to the family about the major cause of the client's condition. Which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C because delirium is characterized by a rapid onset of altered consciousness. Delirium is an acute condition that manifests quickly, unlike dementia which is more gradual. The sudden change in consciousness is a key factor in diagnosing delirium. Choice A is incorrect as talking normally is not a primary diagnostic criterion for delirium. Choice B is incorrect as gradual confusion over time is more indicative of dementia rather than delirium. Choice D is incorrect as exposure to an infectious agent is not a primary cause for delirium, although it could contribute in some cases.
Question 2 of 4
A group of nurses who have recently been hired to work in the mental health division of a large federal prison system are undergoing orientation. A nurse is discussing medication administration for the clients. Which statement would the nurse most likely include in this presentation?
Correct Answer: A
Rationale: The correct answer is A because dissolving oral medications in water before handing them to the prisoner ensures that they are taking the medication as prescribed. This method helps in monitoring medication ingestion and compliance. Explanation: 1. Choice A directly addresses the issue of medication administration and compliance by ensuring that the medications are taken as intended. 2. Choice B is incorrect because patient safety is a priority, and administering medications may be necessary to prevent harm. 3. Choice C is incorrect because coercive methods like routine injections violate ethical principles and patient rights. 4. Choice D is incorrect as obtaining a court order may not always be feasible or necessary for routine medication administration in a prison setting.
Question 3 of 4
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Head Compression. Early decelerations are usually caused by fetal head compression during contractions. As the head is compressed, it stimulates the vagus nerve, leading to a temporary decrease in the fetal heart rate. This is a normal response to the pressure exerted during contractions and is not associated with fetal hypoxia (choice A), abruptio placentae (choice B), or post maturity (choice C). Fetal hypoxia would be indicated by late decelerations, abruptio placentae would show variable decelerations, and post maturity would have a non-reassuring fetal heart rate pattern.
Question 4 of 4
A nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Fever. This is the highest priority for the client to report because fever can indicate a serious side effect called agranulocytosis, a potentially life-threatening condition associated with clozapine therapy. Agranulocytosis can lead to severe infections due to low white blood cell count. It is crucial to monitor for fever as an early sign of this condition to prevent complications. A: Constipation - While constipation can be a side effect of clozapine, it is not as urgent as fever in this context. B: Blurred vision - Blurred vision is a common side effect of clozapine but is not typically considered a medical emergency. D: Dry mouth - Dry mouth is a common side effect of many medications, including clozapine, and is not as concerning as fever in this scenario.