ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Question 1 of 5
A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?
Correct Answer: A
Rationale: Sharing the nurse’s experience shifts focus from the client demonstrating sympathy rather than empathy.
Extract:
Medical History
• Diagnosed with anorexia nervosa at age 16.
• Participated in a weight restoration program 1 year ago.
Vital Signs
1200:
• Blood pressure: 99/59 mm Hg
• Temperature: 36.6°C (97.9°F)
• Heart rate: 58/min
• Respiratory rate: 20/min
• Oxygen saturation: 99% on room air
• Weight: 44.5 kg (98.1 lb)
• BMI: 18.5
• Height: 165.1 cm (65 in)
Nurses’ Notes
1200:
• 18-year-old client admitted to inpatient psychiatric unit after passing out at home. Client reports using laxatives and “making myself throw up after eating” for about 6 months.
1330:
• Reviewed client’s medical record and new diagnostic results; determined client is at risk for further health issues.
Diagnostic Results
1330:
• Basic metabolic panel:
o Glucose: 72 mg/dL (74 to 106 mg/dL)
o Calcium: 10.5 mg/dL (9 to 10.5 mg/dL)
o Sodium: 130 mEq/L (136 to 145 mEq/L)
o Potassium: 3.5 mEq/L (3.5 to 5 mEq/L)
o Magnesium: 2.2 mEq/L (1.3 to 2.1 mEq/L)
o Chloride: 100 mEq/L (98 to 106 mEq/L)
o BUN: 31 mg/dL (10 to 20 mg/dL)
o Creatinine: 3.0 mg/dL (0.5 to 1.0 mg/dL)
• Additional labs:
o Thyroxine, free (T4): 0.4 ng/dL (0.8 to 2.8 ng/dL)
Question 2 of 5
A nurse is reviewing the medical record of a client. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ----------------- and -------------------- .
| Heart Failure |
| Renal Failure |
| Hypomagnesemia |
| Hypothyroidism |
Correct Answer: B,D
Rationale: Elevated BUN and creatinine indicate renal failure; low T4 suggests hypothyroidism.
Extract:
Question 3 of 5
A nurse has received a report on a group of clients. Which of the following client clients should the nurse assess first?
Correct Answer: D
Rationale: Severe headache and confusion in a stroke patient suggest possible hemorrhage requiring urgent assessment.
Question 4 of 5
A nurse is taking care of an adult client who is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This empathetic response validates the client’s distress fostering a therapeutic connection.
Question 5 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients with bipolar disorder? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Valproate carbamazepine and lithium are mood stabilizers used for bipolar disorder.