ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A 35-year-old client with OCD spends several hours each day arranging and rearranging household items in a specific order. The client becomes extremely distressed if the items are not arranged correctly. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: Collaborating with the client to set realistic gradual goals for changing the compulsive behavior is key in treating OCD. This approach allows the client to have input into their treatment plan and promotes realistic achievable progress. Other options may increase anxiety or be less effective.
Question 2 of 5
A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?
Correct Answer: C
Rationale: A skin rash is a serious adverse effect of lamotrigine as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) which require immediate medical intervention. Other side effects are less urgent.
Question 3 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 4 of 5
A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1
Rationale: Solution:
Total daily dose: 1.5 mg. Number of doses per day: 3. Dose per administration: 1.5 mg / 3 = 0.5 mg. Available tablet strength: 0.5 mg.
Therefore the nurse should administer 1 tablet per dose.
Question 5 of 5
A symptom commonly associated with panic attacks?
Correct Answer: A
Rationale: A common symptom of panic attacks is the intense feeling of fear of impending doom which can overwhelm the individual during an attack. Obsessions are linked to OCD apathy to depression and fever to physical illness not panic attacks.