ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A 25-year-old patient with generalized anxiety disorder presents to the ED with shortness of breath,dizziness,and tingling in the fingers. The nurse reviews the ABG results: pH: 7.50 PaCO2: 30 mmHg HCO3: 24 mEq/L. What is the most likely acid-base imbalance?
Correct Answer: C
Rationale: Respiratory alkalosis is indicated by a pH of 7.50 (alkalosis) and a PaCO2 of 30 mmHg which is lower than the normal range (35-45 mmHg). This low PaCO2 suggests that the patient is hyperventilating likely due to anxiety which causes the body to excrete too much CO2. Other options do not match the lab results.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Blurred vision and ataxia are signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider immediately for further evaluation. Continuing the dose administering propranolol or levothyroxine does not address the toxicity risk.
Question 3 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first step in managing obsessive-compulsive disorder (OC
D) is understanding the triggers or precipitating factors for the client's ritualistic behaviors. This helps the nurse identify patterns and understand the client's anxiety which is essential for planning further interventions.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Rapid continuous speech spending large sums of money and flirtatious behavior are indicative of mania characterized by pressured speech impulsivity and inappropriate social interactions. Sleeping for long periods and dressing in dark clothing are more associated with depression.
Question 5 of 5
What is a possible outcome criterion for a client diagnosed with anxiety disorder?
Correct Answer: A
Rationale: A key outcome criterion for clients with anxiety disorder is the ability to demonstrate effective coping strategies such as relaxation techniques or problem-solving to manage anxiety. Hallucinations avoidance and tension are not appropriate outcomes.