ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
When describing mental health to a community group ranging in age between 25 and 50 years, the nurse includes information about the developmental concepts that are often readdressed when life stresses occur. Which developmental concept would the nurse be least likely to address?
Correct Answer: B
Rationale: The correct answer is B: Ego integrity. Ego integrity is a developmental concept typically associated with late adulthood (65+ years) according to Erikson's psychosocial theory. In the age range of 25-50 years, individuals are more focused on addressing challenges related to identity, generativity, and intimacy. Identity refers to establishing a sense of self, generativity involves contributing to society and future generations, and intimacy pertains to forming close relationships. Ego integrity, on the other hand, involves reflecting on one's life and accepting the outcomes, which is not a primary focus for individuals in the 25-50 age group.
Question 2 of 5
A client with depression is prescribed fluoxetine. On a return visit to the clinic, the client tells the nurse that he also just started taking St. John's wort to feel better. The nurse assesses the client for which of the following?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. This is because both fluoxetine and St. John's wort increase serotonin levels in the brain, leading to a risk of serotonin syndrome - a potentially life-threatening condition characterized by symptoms such as confusion, agitation, sweating, and muscle twitching. Water intoxication (A) is not typically associated with these medications. Increased depressive symptoms (B) may occur if the client stops taking fluoxetine abruptly, but not specifically due to the combination with St. John's wort. Hypertensive crisis (D) is not a common concern with these medications.
Question 3 of 5
A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: B
Rationale: The correct answer is B: "I should eat small frequent meals if I get nauseated." This is correct because methadone can cause nausea as a side effect, and eating small, frequent meals can help alleviate this symptom. Option A is incorrect because alcohol should be avoided while on methadone therapy. Option C is incorrect as methadone should be taken with food to reduce gastrointestinal side effects. Option D is incorrect as constipation, not diarrhea, is a common side effect of methadone therapy.
Question 4 of 5
A nurse is interviewing a 12-year-old child in an outpatient psychiatric setting. Which of the following would be most appropriate for the nurse to say to establish a high degree of credibility?
Correct Answer: B
Rationale: The correct answer is B because asking about the child's best friend shows empathy and interest in the child's personal life, establishing rapport and credibility. Choice A focuses on the child's parents, which may not be relevant or comfortable for the child. Choice C offering a teddy bear may come across as patronizing. Choice D implies judgment and may lead to the child feeling defensive or judged, hindering the establishment of trust and credibility.
Question 5 of 5
A nurse is assessing a 49-year-old homeless male client. The nurse fashions the assessment process based on the understanding that the client would most likely demonstrate which of the following?
Correct Answer: D
Rationale: The correct answer is D. Homeless individuals often display resistance and caution due to past negative experiences or mistrust of authority figures. This behavior is a defense mechanism to protect themselves. A nurse should approach with empathy, patience, and non-judgmental attitude to build trust gradually. Choices A, B, and C are incorrect as they assume the client will be cooperative, talkative, or willing to engage in discussions, which may not be the case for a homeless individual who may have faced trauma or discrimination. It is essential for the nurse to acknowledge the client's feelings and validate their concerns before proceeding with the assessment.