ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: B
Rationale: The correct answer is B: Teach the client to develop a plan for daily structured activities. This intervention is effective because it addresses the symptoms of psychomotor retardation, hypersomnia, and motivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of purpose, motivation, and routine, which can improve mood and functioning. Providing education on sleep (choice
A) may help with hypersomnia but does not address the overall lack of motivation and engagement. Developing a list of pleasurable activities (choice
C) may not provide the necessary structure and routine needed for improvement. Encouraging exercise (choice
D) can be beneficial but may be challenging for someone with psychomotor retardation.
Question 2 of 5
Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?
Correct Answer: B
Rationale: The correct answer is B: Antipsychotics. Antipsychotics are known to potentially cause abnormal movement disorders, such as tardive dyskinesia, even at therapeutic dosages. Nursing assessment is crucial to monitor for early signs of these adverse effects. SSRIs (
A) are not typically associated with movement disorders. Benzodiazepines (
C) primarily affect the central nervous system and are more associated with sedation and cognitive impairments. Tricyclic antidepressants (
D) can cause side effects like dry mouth and constipation, but not movement disorders.
Question 3 of 5
A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client’s plan of care should include what priority problem?
Correct Answer: A
Rationale: The correct answer is A: Acute confusion. This is the priority problem because the client is disoriented, disorganized, and confused, indicating altered mental status. Addressing acute confusion takes precedence to ensure the client's safety and well-being. Ineffective community coping (
B) may be a concern, but addressing the client's altered mental status is crucial. Disturbed sensory perception (
C) and self-care deficit (
D) may be secondary to the client's acute confusion.
Question 4 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 5 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 an antihypertensive medication that can lower blood pressure. With blood pressure readings of 90/62 mmHg to 92/58 mmHg, the client already has hypotension, which can be exacerbated by clonidine, leading to further lowering of blood pressure and potential adverse effects like dizziness, lightheadedness, or fainting.
Therefore, the RN should withhold the clonidine prescription to prevent a significant drop in blood pressure.
Option B is incorrect because a pulse rate of 68-78 BPM is within normal range and not a contraindication for clonidine administration. Option C is incorrect as a temperature of 99.5-99.7 F is also normal and not a reason to withhold clonidine. Option D is incorrect as a respiration rate of 24 breaths per minute is within normal limits and does not warrant withholding clonidine.