ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A client with major depressive disorder is prescribed lithium carbonate. Which finding should the RN report to the healthcare provider?
Correct Answer: B
Rationale: The correct answer is B: Blood urea nitrogen (BUN) level of 16 mg/dL. This finding should be reported because lithium can affect kidney function, leading to decreased renal clearance and potential toxicity. Elevated BUN levels indicate possible kidney impairment, which can be exacerbated by lithium. Reporting this finding promptly allows for timely intervention to prevent further kidney damage.
Incorrect choices:
A: Serum lithium level of 0.8 mEq/L - This is within the therapeutic range for lithium, so it does not require immediate reporting.
C: Serum sodium level of 138 mEq/L - This is within the normal range and not directly related to lithium therapy.
D: Urine output of 800 mL in 24 hours - While decreased urine output could indicate kidney issues, the specific BUN level is a more direct indicator of kidney function in this context.
Question 2 of 5
The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client’s dressing?
Correct Answer: B
Rationale:
Correct Answer: B - Perform the dressing change in a non-judgmental manner.
Rationale: This approach is essential in caring for clients with borderline personality disorder as it helps build trust and a therapeutic relationship. By being non-judgmental, the RN creates a safe environment for the client to feel comfortable and supported during the dressing change. This approach also helps reduce feelings of shame or guilt that the client may be experiencing, ultimately promoting healing and preventing further self-harm.
Other
Choices:
A: Providing detailed explanations may overwhelm the client and trigger distress.
C: Asking why the client self-harmed in a non-threatening manner may not be appropriate during a dressing change and could lead to discomfort.
D: Requesting another staff member may not address the client's emotional needs and could potentially reinforce feelings of isolation or rejection.
Question 3 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: The correct answer is D: Teach the client to develop a plan for daily structured activities. This intervention addresses the symptoms of psychomotor retardation, hypersomnia, and amotivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can counteract the symptoms and improve functioning. Encouraging exercise (
A) may be beneficial, but developing a structured plan for daily activities is more directly targeted at addressing the specific symptoms presented. Developing a list of pleasurable activities (
B) may not provide the necessary structure and may not address the underlying issues contributing to the client's symptoms. Providing education on methods to enhance sleep (
C) may be helpful in addressing the hypersomnia symptom but may not fully address all aspects of the client's presentation.
Question 4 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April’s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B because the scenario indicates that April is getting more wound up and losing self-control despite being put in time-out multiple times a day. This suggests that time-out is no longer effective in helping April self-reflect or manage her behavior. Continuing to use an ineffective tool can be detrimental to April's well-being and may lead to escalating behavior issues.
Choices A, C, and D are incorrect because they do not address the fact that time-out is no longer effective in this situation. A suggests that time-out is still important, C assumes April enjoys time-out, and D jumps to a more extreme measure without exploring other alternatives.
Question 5 of 5
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:
Correct Answer: A
Rationale: The correct answer is A: Lithium (Eskalith). Lithium is known to cause significant fluid and electrolyte imbalances, particularly affecting sodium levels. Patients on lithium therapy require close monitoring of their electrolyte levels to prevent adverse effects such as dehydration or hyponatremia. Clozapine (
B), Diazepam (
C), and Amitriptyline (
D) do not typically have as profound effects on fluid and electrolyte balance as lithium.
Therefore, they do not require the same level of monitoring for these imbalances.