ATI RN
Mental Health Final ATI Questions
Question 1 of 5
The nurse is caring for a client in the outpatient setting who has been diagnosed with a depressive disorder. Before the client is given a prescription for a tricyclic antidepressant, assessment for which of the following would be most important?
Correct Answer: A
Rationale: The correct answer is A: Suicide. Assessing for suicide risk is crucial before prescribing a tricyclic antidepressant due to the potential increase in suicidal ideation in the initial phase of treatment. Suicide risk assessment helps in determining the level of monitoring and support needed for the client. Choices B, C, and D are incorrect as hypersomnia, cardiac arrhythmia, and erectile dysfunction are not directly related to the initiation of tricyclic antidepressants and do not pose an immediate risk to the client's safety compared to suicidal ideation.
Question 2 of 5
A client with erectile dysfunction who is prescribed sildenafil asks the nurse, 'When should I take the medication?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Take it about ½ to 2 hours before you have sexual activity." This is the most appropriate response because sildenafil takes about 30 minutes to 1 hour to start working, with peak effectiveness around 1 to 2 hours after ingestion. Taking it too early or too late can affect its efficacy. Choice A is incorrect as timing should be based on sexual activity, not just morning routine. Choice C is incorrect as 5 minutes is too short for sildenafil to take effect. Choice D is incorrect as taking it at night may not align with the intended purpose of improving erectile function during sexual activity.
Question 3 of 5
A nurse is talking with the husband of a female client diagnosed with Alzheimer's disease. During the conversation, the husband tells the nurse that she often begins to scream and curse for no apparent reason. The nurse interprets this as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Hypervocalization. In Alzheimer's disease, individuals may exhibit increased vocalization, including screaming and cursing, due to various factors such as confusion, frustration, or agitation. This behavior is known as hypervocalization. Choice A, hypersexuality, refers to inappropriate sexual behavior, not vocalization. Choice B, disinhibition, involves lack of restraint in behaviors, not specifically vocalization. Choice D, apathy, refers to lack of interest or emotion, not excessive vocalization. Therefore, the most appropriate interpretation in this scenario is hypervocalization due to Alzheimer's disease.
Question 4 of 5
The nurse is caring for four clients who are simultaneously being treated for chronic medical conditions and psychiatric conditions. Which client would the nurse anticipate as being most resistive to taking medications for both conditions?
Correct Answer: C
Rationale: The correct answer is C because the client who is convinced he is the president's twin brother may be experiencing delusions, a symptom of a psychiatric condition that could lead to resistance in taking medications. Delusions can alter one's perception of reality, making it challenging for the client to recognize the necessity of medications. A, B, and D do not demonstrate the same level of potential resistance to medication. A client exhibiting push of speech (A) may still understand the need for medication. Difficulty sleeping (B) is a common symptom that can be addressed with appropriate medication. Inability to establish eye contact (D) may indicate social difficulties but does not necessarily correlate with resistance to medication.
Question 5 of 5
A nurse is caring for a newborn who is under phototherapy lights. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Phototherapy lights can harm the newborn's developing eyes. 2. Eye shields protect the eyes from damage caused by the lights. 3. Ensuring the eye shield covers the eyes is crucial for eye protection. Summary of Incorrect Choices: B: Applying lotion can interfere with the effectiveness of phototherapy. C: Offering glucose water is unnecessary and may interfere with feeding. D: Breastfeeding should not be discontinued as it provides essential nutrients and bonding for the newborn.