ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms?
Correct Answer: D
Rationale: The correct answer is D: She should experience a reduction in hallucinations. First-generation antipsychotic medications are primarily used to treat positive symptoms of schizophrenia, such as hallucinations and delusions. These medications work by blocking dopamine receptors in the brain, which can help reduce hallucinations. Memory problems (choice
A) are a common side effect of first-generation antipsychotics and are not expected to decrease. Depressive episodes (choice
B) are not directly treated by first-generation antipsychotics. Enjoying social interactions more (choice
C) is not a typical effect of these medications. In summary, the correct information to provide to the patient is that the medication should help reduce her hallucinations.
Question 2 of 5
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis?
Correct Answer: D
Rationale: The correct answer is D: Call for transportation to the hospital. In this crisis situation, the priority is ensuring that the employee can reach her child at the hospital quickly. By calling for transportation to the hospital, the nurse is taking immediate action to support the employee in being with her child. This response shows empathy and practical assistance, addressing the urgent need of the situation.
Choice A: Tell me what you think should happen - This response puts the decision-making burden on the employee when she is in distress and needs guidance.
Choice B: How serious was the collision? - While gathering information is important, in this scenario, the immediate need is to support the employee in reaching her child at the hospital.
Choice C: What do you think you should do? - Similar to choice A, this response does not provide direct assistance in a crisis situation.
In summary, choice D is the best because it prioritizes immediate action to help the employee be with her child, while the other choices either shift
Question 3 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because in inpatient settings, there is continuous monitoring and supervision available to ensure Pablo's safety and prevent any self-harm behaviors. This is crucial for someone expressing a wish to die. Option B is incorrect because it focuses on symptom stabilization, which is not the primary rationale for inpatient treatment in this case. Option C is also incorrect as it addresses physical needs rather than the immediate mental health and safety concerns. Option D is incorrect because while medication adherence may be part of the treatment plan, it is not the primary reason for recommending inpatient treatment in this scenario.
Question 4 of 5
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the patient understands the dual purpose of Wellbutrin as an antidepressant and smoking cessation aid. This shows comprehension of the medication's intended effects and goals.
Choice B is incorrect as weight gain is a potential side effect of Wellbutrin.
Choice C is incorrect as a history of seizures should be evaluated by the healthcare provider before starting Wellbutrin.
Choice D is incorrect as Wellbutrin is not typically associated with drowsiness.
Question 5 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D: Escort the client to his room. This intervention is appropriate as it addresses the behavior causing annoyance while also ensuring the client's needs are met in a compassionate and non-punitive manner. By escorting the client to his room, the nurse can provide a safe and quiet environment for the client to calm down and reduce the echolalia behavior. This approach respects the client's dignity and promotes a therapeutic environment. The other choices are incorrect because avoiding recognizing the behavior (
A) does not address the issue, isolating the client (
B) may worsen the client's symptoms and social isolation, administering a sedative (
C) should only be done as a last resort due to potential side effects and ethical considerations.