ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 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 RN to implement?
Correct Answer: C
Rationale: The correct answer is C: Avoid recognizing the behavior. Echolalia is the repetition of words or phrases spoken by others, common in schizophrenia. By not reinforcing or acknowledging the behavior, the client may eventually stop. Isolating the client (
Choice
A) may lead to feelings of rejection. Administering a sedative (
Choice
B) may not address the underlying behavior. Escorting the client to his room (
Choice
D) does not address the echolalia directly.
Question 2 of 5
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription?
Correct Answer: A
Rationale: The correct answer is A. Clonidine is a medication commonly prescribed for managing symptoms of alcohol withdrawal. Since it can lower blood pressure, it is crucial to monitor the client's blood pressure regularly. In this case, the client's blood pressure readings of 90/62 mmHg to 92/58 mmHg are low, indicating hypotension. Administering clonidine in this situation can further decrease blood pressure, potentially causing adverse effects like dizziness, light-headedness, or even fainting.
Therefore, the RN should withhold the clonidine prescription to prevent exacerbating hypotension.
Choices B, C, and D are within normal ranges and do not contraindicate the use of clonidine in this scenario.
Question 3 of 5
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This is important to prevent aspiration during ECT, as anesthesia is often used and the client must have an empty stomach. Holding all bedtime medications (choice
A) is not necessary unless specified by the healthcare provider. Implementing elopement precautions (choice
C) is not relevant to ECT procedure. Giving the client an enema at bedtime (choice
D) is unnecessary and not indicated for ECT preparation.
Question 4 of 5
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
Correct Answer: D
Rationale: The correct answer is D: Beef tips with gravy. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine-rich foods, potentially causing hypertensive crisis. Beef tips with gravy contain high levels of tyramine, which can lead to a dangerous spike in blood pressure when combined with MAOIs. Pan-seared catfish, pepperoni pizza, and deep-fried shrimp are not typically high in tyramine and do not pose the same risk.
Therefore, the RN should instruct the client to avoid beef tips with gravy to prevent complications.
Question 5 of 5
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN?
Correct Answer: A
Rationale: The correct answer is A because attempting to physically restrain a client with escalating aggressive behavior can escalate the situation further, leading to potential harm to both the client and the mental health worker. Physical restraint should only be used as a last resort and under the guidance of a registered nurse to ensure safety and prevent harm.
Choices B, C, and D are not immediate interventions for managing escalating aggressive behavior. Remaining at a distance of 4 feet, telling the client to go to a quiet area, or using a loud voice are not effective strategies to de-escalate the situation and may not address the root cause of the aggression.