ATI PN Mental Health 2023

Extract:

Question 1 of 5

A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client’s voice. Which of the following interventions should the nurse implement first?

A. Place the client in restraints B. Obtain a prescription for haloperidol. C. Take the client to the seclusion room. D. Verbally de-escalate the client.

Correct Answer: D

Rationale: Verbal de-escalation is the least restrictive first step to manage agitation safely. Restraints (
A), medication (
B), and seclusion (
C) escalate intervention levels.

Question 2 of 5

A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?

A. Family report of gradual memory loss B. Demonstrates obsessive behaviors C. Fluctuating level of orientation D. Consistent state of depression

Correct Answer: C

Rationale: Fluctuating orientation is a delirium hallmark, unlike gradual memory loss (
A) in dementia, obsessive behaviors (
B) in OCD, or consistent depression (
D).

Question 3 of 5

A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

A. The medication may cause ringing in my ears.' B. The medication may cause urinary incontinence.' C. I may experience a metallic taste while taking this medication.' D. I may be more sensitive to the sun while taking this medication.'

Correct Answer: D

Rationale: Photosensitivity is a haloperidol side effect; this shows understanding. Tinnitus (
A), incontinence (
B), and metallic taste (
C) are not typical.

Question 4 of 5

A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?

A. Encouraging the client to attend a daily exercise program on the unit B. Reinforcing information on the potential adverse effects of a medication with the client C. Respecting the client’s right to refuse to attend a group therapy session D. Maintaining the client’s confidentiality about a substance use disorder

Correct Answer: B

Rationale: Veracity involves truth-telling; reinforcing medication adverse effects ensures informed decisions. A is beneficence, C is autonomy, and D is confidentiality.

Question 5 of 5

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?

A. Explain the use of response prevention to the client. B. Administer an antianxiety medication. C. Discuss the benefits of relaxation exercises with the client. D. Calculate the client’s score on the Hamilton Rating Scale for Anxiety.

Correct Answer: A

Rationale: Explaining response prevention, part of ERP therapy, targets OCD directly and is a priority. Medication (
B) and relaxation (
C) are secondary, and assessment (
D) follows intervention planning.

ATI PN Mental Health 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN