ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?
Correct Answer: C
Rationale: Severe anxiety can lead to heightened agitation which may include threatening behaviors as the client struggles to cope with overwhelming feelings of fear or distress. Attention-seeking is typical of personality disorders mild fidgeting is common in less severe anxiety and mild difficulty problem solving is not as intense a manifestation as threatening behaviors in severe anxiety.
Question 2 of 5
A 35-year-old client with OCD spends several hours each day arranging and rearranging household items in a specific order. The client becomes extremely distressed if the items are not arranged correctly. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: Collaborating with the client to set realistic gradual goals for changing the compulsive behavior is key in treating OCD. This approach allows the client to have input into their treatment plan and promotes realistic achievable progress. Other options may increase anxiety or be less effective.
Question 3 of 5
A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1
Rationale: Solution:
Total daily dose: 1.5 mg. Number of doses per day: 3. Dose per administration: 1.5 mg / 3 = 0.5 mg. Available tablet strength: 0.5 mg.
Therefore the nurse should administer 1 tablet per dose.
Question 4 of 5
A nursing student reports experiencing test-taking anxiety,including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?
Correct Answer: B
Rationale: Lorazepam a benzodiazepine provides rapid relief of acute anxiety symptoms making it appropriate for episodic test-taking anxiety. Propranolol addresses physical symptoms but not psychological ones while sertraline and buspirone are for long-term anxiety management.
Question 5 of 5
A client who has bipolar disorder approaches the nurse and reveals fresh,self-inflicted,superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The first action is to inspect the cuts for any debris to ensure proper wound care. Cleaning the wounds and assessing their severity is necessary to prevent infection. Documentation tetanus administration and behavioral plans are important but secondary to immediate wound care.