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. This intervention is best because echolalia is a symptom of schizophrenia and acknowledging or reinforcing it may exacerbate the behavior. Ignoring the behavior can help decrease its frequency as the client may lose interest in repeating others' words if it does not elicit a response. Isolating the client (
A) may lead to feelings of rejection and exacerbate symptoms. Administering a sedative (
B) should not be the first-line approach as it does not address the underlying cause of the behavior. Escorting the client to his room (
D) may not be effective in managing echolalia.
Question 2 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is a melatonin receptor agonist that does not have abuse potential or risk of dependence, making it a suitable choice for patients with substance use disorder. Patients with substance use disorder are at higher risk for developing dependence on traditional hypnotics, such as benzodiazepines or Z-drugs.
Choice A, B, and C are incorrect because ramelteon does not specifically target symptoms of obsessive-compulsive disorder, generalized anxiety disorder, or persistent depressive disorder.
Question 3 of 5
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the nurse practitioner:
Correct Answer: B
Rationale: Cognitive-behavioral therapy aims to address negative thought patterns and behaviors.
Choice B demonstrates a cognitive restructuring process where the patient challenges a negative thought with evidence to the contrary, promoting a more positive self-perception. This indicates progress in therapy.
Choices A and D describe maladaptive behaviors, while choice C indicates difficulty applying coping strategies. The correct answer, B, reflects the patient's ability to challenge and reframe negative thoughts, a key component of cognitive-behavioral therapy.
Question 4 of 5
A client with an eating disorder tells the RN, "I’ve been eating only 400 calories per day and have been taking diuretics to lose weight.” What is the RN’s best response?
Correct Answer: D
Rationale: The correct answer is D: “The diuretics could be causing your body to lose essential nutrients.” This response addresses potential harm caused by diuretics in addition to the low calorie intake. Diuretics can lead to electrolyte imbalances and dehydration, which are dangerous for someone with an eating disorder. Monitoring calorie intake (
B) or discussing physical effects (
C) are not as critical as addressing the immediate risk of nutrient loss from diuretics. Simply stating the diet is harmful (
A) lacks specificity.
Question 5 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
Setting a specific limit on the number of times the client can check the door is the most appropriate intervention because it addresses the client's compulsive behavior while also providing structure and boundaries. By setting limits, the client can gradually learn to trust the initial checking and reduce the need for reassurance, promoting independence and self-regulation. This intervention also aligns with cognitive-behavioral therapy principles for treating OCD by encouraging exposure and response prevention.
Summary of other choices:
B: Helping the client find an alternative activity does not directly address the compulsive checking behavior associated with OCD.
C: Providing consistent reassurance reinforces the client's checking behavior and does not promote long-term independence.
D: Ignoring the checking behavior may lead to increased anxiety and does not address the underlying issue of OCD.