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: The correct answer is C: Threatening behaviors. Severe anxiety can lead to aggressive or threatening behaviors as a result of feeling overwhelmed or unable to cope. This can be a manifestation of the fight-or-flight response triggered by intense anxiety. The other choices are incorrect because attention-seeking conduct (
A) is more commonly associated with personality disorders, mild fidgeting (
B) may indicate mild anxiety but not severe anxiety, and mild difficulty problem solving (
D) is a cognitive manifestation that is less likely to be prominent in cases of severe anxiety.
Question 2 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: D
Rationale: The correct answer is D: Plan the client's schedule to allow time for rituals. For clients with OCD, rituals provide a sense of control and comfort. Allowing time for these rituals in the schedule can help prevent distress and agitation. Isolating the client (
A) can worsen symptoms. Setting strict limits (
B) may increase anxiety. Confronting the client (
C) can be counterproductive as it may lead to defensiveness and resistance.
Therefore, planning the schedule to accommodate rituals (
D) is the most appropriate approach.
Question 3 of 5
A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the morning dose of lithium. The nurse should administer the medication as prescribed because the client's current lithium level of 1.0 mEq/L is within the therapeutic range (0.6-1.2 mEq/L). Holding the medication (option
D) unnecessarily disrupts the treatment plan and can potentially lead to a relapse of the client's condition. Checking the medication record for refusals (option
B) is not necessary at this point since the current lithium level is within the therapeutic range. Gastric lavage (option
C) is not indicated as the lithium level is not extremely elevated. In summary, administering the morning dose of lithium is appropriate as the current level is therapeutic, ensuring continuity of care and adherence to the treatment plan.
Question 4 of 5
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
To administer 100 mcg of levothyroxine daily using 50 mcg tablets, the nurse should give 2 tablets. Each tablet is 50 mcg, so 2 tablets equal 100 mcg, meeting the prescribed dose. The nurse should round the answer to the nearest whole number, which is 2 in this case. Other choices like 1 tablet (50 mcg) would be insufficient to reach the required 100 mcg dose.
Choices above 2 tablets would exceed the prescribed dose, potentially leading to adverse effects. It's important to ensure the correct dosage is given to maintain the patient's thyroid hormone levels within the therapeutic range.
Question 5 of 5
A client who has bipolar disorder states,I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator. Which of the following findings is this client exhibiting?
Correct Answer: C
Rationale: The correct answer is C: Grandiosity. The client's statement of feeling like Superman and believing they can do anything, such as flying home and becoming a U.S. Senator, reflects grandiosity, a symptom commonly seen in bipolar disorder's manic phase. Grandiosity is characterized by an exaggerated sense of self-importance, power, and abilities. This client's unrealistic beliefs and inflated self-esteem are indicative of grandiosity, a hallmark symptom of bipolar disorder.
Choices A, B, and D are incorrect because reality testing refers to the ability to assess the accuracy of one's perceptions, derealization involves feeling detached from one's surroundings, and flight of ideas is a symptom of pressured speech and racing thoughts often seen in mania.