ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines?
Correct Answer: D
Rationale: The correct answer is D: Flumazenil. Flumazenil is a specific benzodiazepine receptor antagonist used to reverse the sedative effects of benzodiazepines. It competitively inhibits the binding of benzodiazepines to their receptors, effectively reversing their actions. Naloxone (
A) is an opioid receptor antagonist, Diphenhydramine (
B) is an antihistamine, and Protamine (
C) is used to reverse the effects of heparin. These medications are not used for benzodiazepines.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?
Correct Answer: A
Rationale:
Correct
Answer: A - Walking with the nurse in the courtyard.
Rationale: Walking with the nurse in the courtyard is appropriate as it provides physical activity, fresh air, and one-on-one interaction to help distract and calm the client during the manic phase. This activity promotes relaxation and can help reduce boredom without overstimulating the client. It also allows the nurse to closely monitor the client's behavior and mood.
Summary of other choices:
B: Watching a video with a group may be too stimulating for a client in the manic phase.
C: Participating in a basketball game may be too intense and potentially risky for a client with bipolar disorder in a manic state.
D: Joining a group discussion about a local election may be overwhelming and not calming for a client experiencing mania.
Question 3 of 5
A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. Which of the following findings indicates the client is at risk for suicide?
Correct Answer: A
Rationale: The correct answer is A. Impulsive behavior is a significant indicator of suicide risk in individuals with bipolar disorder. Impulsivity can lead to reckless actions without considering consequences, increasing the likelihood of self-harm. It is crucial for healthcare professionals to recognize this warning sign and intervene appropriately. Other choices are incorrect because: B does not directly indicate suicidal ideation, C shows a desire to be with loved ones rather than harm oneself, and D indicates social engagement which can be a positive coping mechanism.
Question 4 of 5
A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?
Correct Answer: B
Rationale: The correct answer is B because sitting on a park bench for a few minutes each day demonstrates gradual exposure therapy, a common treatment for agoraphobia. This approach helps the client confront their fear in a controlled way and gradually increase their tolerance to anxiety-provoking situations.
Choice A does not specifically address agoraphobia treatment goals.
Choice C mentions group therapy, which can be helpful but does not specifically show understanding of treatment goals.
Choice D suggests avoidance, which is counterproductive for overcoming agoraphobia.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: B
Rationale: The correct answer is B: Decrease anxiety to a tolerable level. In OCD, repetitive behaviors like picking up after others serve to alleviate anxiety caused by obsessive thoughts. This behavior acts as a coping mechanism to manage distressing thoughts and reduce anxiety.
Choice A is incorrect as the behavior is not aimed at limiting interaction time.
Choice C is incorrect as the behavior is not focused on meaningful tasks but rather on compulsive actions.
Choice D is incorrect as the behavior is not intended to manipulate or control others but to manage internal anxiety.