ATI RN
ATI Mental Health Book Questions
Question 1 of 5
The nurse is caring for a patient who has a question about the safety of an herbal supplement. Which nursing response is best?
Correct Answer: C
Rationale: The correct answer is C because it emphasizes the importance of informing the primary care provider about any supplements. This ensures proper monitoring for potential interactions and side effects. Choice A is incorrect as herbal supplements are not as strictly regulated as prescription drugs. Choice B is incorrect as natural does not always mean safe. Choice D is incorrect as marketing claims do not guarantee safety. Overall, choice C prioritizes patient safety and collaboration with healthcare providers.
Question 2 of 5
A client with schizoaffective disorder is having difficulty adhering to the medication regimen that requires the use of several agents. The client also is experiencing several side effects contributing to this nonadherence. The physician plans to change the client's medication. Which agent would the nurse anticipate that the physician would prescribe?
Correct Answer: B
Rationale: The correct answer is B: Aripiprazole. Aripiprazole is a second-generation antipsychotic that has a favorable side effect profile compared to other agents. It is commonly used in the treatment of schizoaffective disorder due to its effectiveness in managing both psychotic symptoms and mood symptoms. Aripiprazole has a lower risk of metabolic side effects compared to agents like olanzapine and clozapine, making it a suitable choice for a client experiencing side effects contributing to nonadherence. Lithium is not typically used as a first-line treatment for schizoaffective disorder. Clozapine is known for its potential serious side effects, such as agranulocytosis, requiring close monitoring. Olanzapine is associated with weight gain and metabolic issues, which may worsen nonadherence in this case.
Question 3 of 5
A nurse is demonstrating behaviors that the treatment team is attempting to get the patient to develop. The nurse is integrating which theory?
Correct Answer: B
Rationale: The correct answer is B: Albert Bandura's social cognitive theory. Bandura's theory emphasizes observational learning, where individuals acquire new behaviors through watching others. In this scenario, the nurse is demonstrating behaviors for the patient to develop, aligning with Bandura's theory. This theory also emphasizes self-efficacy and the role of cognitive processes in behavior change, which are relevant in healthcare settings. Choice A (Erikson's model of psychosocial development) focuses on stages of psychosocial development across the lifespan, which is not directly related to the nurse's demonstration of behaviors. Choice C (Skinner's operant conditioning) emphasizes reinforcement and punishment to shape behavior, which is not the primary mechanism at play in the nurse's demonstration. Choice D (Freud's psychoanalytic model) emphasizes unconscious processes and early childhood experiences, which are not directly applicable to the nurse's intentional demonstration of behaviors.
Question 4 of 5
After teaching a patient who is prescribed imipramine about the drug, the nurse determines that the teaching was effective when the patient states which of the following?
Correct Answer: A
Rationale: Rationale for Correct Answer A: The statement "I need to be careful because the drug can make me sleepy" demonstrates understanding of a common side effect of imipramine, which is sedation. This shows that the patient comprehends the need to be cautious while taking the medication to prevent accidents or injuries due to drowsiness. Incorrect Choices: B: This statement is incorrect because imipramine can cause orthostatic hypotension, leading to dizziness when changing positions. C: This statement is incorrect because excess saliva is not a common side effect of imipramine. D: This statement is incorrect because imipramine can actually cause constipation rather than diarrhea, so avoiding fiber is not necessary.
Question 5 of 5
A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?
Correct Answer: C
Rationale: The correct answer is C: Recreational therapist. A recreational therapist can help the patient identify and engage in meaningful leisure activities to promote socialization and community integration. This can improve the patient's quality of life and overall well-being. Rationale: 1. Psychologist (A): While a psychologist can provide therapy and support, the patient's need for socialization and community engagement would be better addressed by a recreational therapist. 2. Social worker (B): A social worker can provide resources and support, but may not have the expertise in recreational therapy to address the patient's specific needs. 3. Occupational therapist (D): While an occupational therapist can help with daily activities and routines, they may not focus specifically on leisure activities and socialization as a recreational therapist would.