ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A community health nurse is providing teaching to the family of a client who has dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: B
Rationale: Forgetfulness that gradually progresses to disorientation is a hallmark of dementia due to progressive cognitive decline.
Question 2 of 5
A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?
Correct Answer: C
Rationale: Projection is the act of attributing one's own unacceptable feelings or thoughts to another person. In this scenario, the student is projecting their own failure onto the teacher and the course by blaming them for the failure. They are unable to accept their own role in the failure and are instead placing the blame on external factors.
Question 3 of 5
A nurse is caring for a client who is exhibiting severe manifestations of serotonin syndrome. Which of the following is the priority nursing intervention?
Correct Answer: D
Rationale: Serotonin syndrome is a potentially life-threatening condition caused by an excess of serotonin in the body, often resulting from interactions between medications that affect serotonin levels. Severe manifestations of serotonin syndrome can include high fever, muscle rigidity, agitation, seizures, and even coma. In cases of severe serotonin syndrome, the client's neurological and respiratory functions can be compromised, making it crucial to ensure adequate ventilation and oxygenation.
Question 4 of 5
A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Lithium is a commonly used medication for treating bipolar disorder, and therapeutic drug monitoring is crucial to ensure its effectiveness and prevent potential toxicity. Monitoring the client's lithium levels in the blood is important because lithium has a narrow therapeutic range, meaning that levels that are too low might not provide the desired therapeutic effect, while levels that are too high can lead to toxicity.
Question 5 of 5
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: This response is empathetic and validating. It acknowledges the client's feelings without making assumptions or demands, creating a supportive environment for further discussion.