ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Document the client's behavior every 15 minutes. This is crucial to monitor the client's response to seclusion, assess for any changes in behavior, and ensure the client's safety. Offering food and fluids (choice
A) may not be appropriate during seclusion due to safety concerns. Vital signs monitoring (choice
B) is important but may not be as immediate as documenting behavior. Obtaining the provider's prescription (choice
D) is important but not as immediate as continuous monitoring of behavior.
Question 2 of 5
A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: B
Rationale: The correct answer is B: St. John's wort. St. John's wort is known to interact adversely with fluoxetine, leading to serotonin syndrome due to additive serotonin effects. St. John's wort should not be taken with SSRIs like fluoxetine. Echinacea (
A), Ginkgo biloba (
C), and soy protein (
D) do not have established adverse interactions with fluoxetine.
Question 3 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Remain with the client for 1 hr after meals. This is important for clients with binge eating disorder to prevent purging behaviors. The nurse's presence can provide support, prevent isolation, and discourage negative behaviors. Weighing the client every other day (
B) can trigger anxiety and exacerbate the disorder. Offering snacks when the client is hungry (
C) may not address the underlying issues of binge eating. Planning a menu with the client (
D) may not be effective without addressing the immediate post-meal period.
Question 4 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The correct answer is C: Displacement. Displacement is a defense mechanism where one redirects their negative emotions or impulses from the original source to a less threatening target. In this scenario, the client is displacing his anger from his partner onto the nurse by becoming angry and telling her to leave. This behavior helps him avoid facing the real issue with his partner. Denial (
A) involves refusing to acknowledge reality, Compensation (
B) is overemphasizing a trait to offset a perceived weakness, and Rationalization (
D) is providing logical reasoning to justify unacceptable behavior.
Question 5 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by increasing endorphins and reducing stress hormones. Exercise can improve mood, self-esteem, and overall well-being. It also helps regulate sleep patterns and combat feelings of fatigue commonly associated with depression.
Choice A is incorrect as group activities may not always be suitable for someone with major depressive disorder.
Choice B is incorrect as excessive light exposure at night can disrupt sleep patterns.
Choice D is incorrect as it is important for the client to express and process their feelings, including anger, in a healthy way.