ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A client with schizophrenia is prescribed risperidone. Which of the following should the nurse monitor for as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. Risperidone, an antipsychotic medication, is known to cause metabolic side effects such as weight gain. This occurs due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes.
A: Increased blood pressure is not a common adverse effect of risperidone.
C: Excessive salivation is more commonly associated with medications that affect the cholinergic system, not typically with risperidone.
D: Bradycardia is not a typical side effect of risperidone; it is more commonly associated with medications that affect heart rate.
Question 2 of 5
A nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Ask the client what the voices are saying. This intervention is crucial because it helps the nurse gain insight into the content of the hallucinations, which can provide valuable information about the client's thoughts and feelings. It also shows the client that the nurse is listening and taking their experiences seriously. By understanding the content of the hallucinations, the nurse can better assess the client's mental state and develop an appropriate care plan.
Choice B is incorrect because directly telling the client the voices are not real may invalidate their experiences and lead to decreased trust.
Choice C is not the priority as it does not address the immediate need of addressing the hallucinations.
Choice D is not the first intervention as deep breathing exercises may not be effective in managing auditory hallucinations.
Question 3 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease to prevent them from wandering and getting lost. Placing locks at the tops of exterior doors can help ensure the client's safety by restricting their ability to leave the house unsupervised. This intervention is crucial in managing the risks associated with the client's cognitive impairment.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering in a client with Alzheimer's disease.
B: Encouraging physical activity prior to bedtime may not be directly related to the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not significantly impact the client's safety in terms of wandering.
Overall, placing locks at the tops of exterior doors is the most appropriate action to address the safety needs of a client with Alzheimer's disease.
Question 4 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D. The nurse should see the client taking clozapine and reporting a sore throat first because clozapine can cause agranulocytosis, a serious side effect characterized by a low white blood cell count, which can lead to life-threatening infections. Monitoring for signs of infection, such as a sore throat, is crucial to prevent complications. This client's situation requires immediate attention to assess the severity of the sore throat and take necessary actions to prevent further complications.
Choice A is incorrect because although mocking behavior can be disruptive, it does not pose an immediate threat to the client's health or safety.
Choice B is incorrect as the client's distress over a change in routine, while important, does not present an immediate risk to their well-being.
Choice C, assisting a client with ADLs, is important but can be prioritized after addressing the urgent health concern of the client taking clozapine.
Question 5 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. This is important because individuals experiencing mania in bipolar disorder often have high energy levels, decreased need for sleep, and exhibit impulsive behaviors. Encouraging rest periods can help to regulate their energy levels and promote relaxation, which can aid in managing symptoms of mania.
Choice A is incorrect because placing the client in seclusion can exacerbate feelings of anxiety and agitation.
Choice B may not be effective as spending time in a dayroom may not address the client's need for rest.
Choice C is not appropriate as withdrawing TV privileges may not be directly related to managing mania symptoms.
In summary, encouraging the client to take frequent rest periods is the most appropriate intervention as it directly addresses the symptoms of mania by helping to regulate energy levels and promote relaxation.