ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.8
Rationale: Solution: Volume (mL) = Dose (mg) / Concentration (mg/mL). Dose = 30 mg Concentration = 40 mg/mL. So Volume = 30 mg / 40 mg/mL = 0.75 mL rounded to 0.8 mL.
Question 2 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 3 of 5
A client who has bipolar disorder states,I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator. Which of the following findings is this client exhibiting?
Correct Answer: C
Rationale: Grandiosity is an inflated sense of self-importance and unrealistic beliefs in one's abilities as demonstrated by the client's statement about being able to fly and become a U.S. Senator. Reality testing involves distinguishing reality derealization involves feeling the world is unreal and flight of ideas involves rapid topic shifts none of which fit the client's statement.
Question 4 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 5 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: Walking with the nurse in the courtyard provides a simple safe and structured activity that promotes physical exercise and reduces excess energy in a way that is appropriate for someone in a manic state. Other activities may be too stimulating or passive.