ATI Mental Health PM 2023

Extract:

Question 1 of 5

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

A. I can try participating in group therapy every week. B. I should avoid entering elevators and other closed spaces. C. I plan to sit on a park bench for a few minutes each day. D. I will join a book club in my neighborhood.

Correct Answer: C

Rationale: Planning to sit on a park bench shows willingness for gradual exposure to feared situations, aligning with agoraphobia treatment goals via CBT.

Question 2 of 5

A psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)?

A. My arms often feel weak and spastic. B. I check where my car keys are ten times. C. I'm embarrassed to go out and speak in public. D. I keep reliving a car accident almost every day.

Correct Answer: B

Rationale: Repeatedly checking car keys suggests a compulsion to alleviate anxiety from obsessive thoughts, a hallmark of OCD.

Question 3 of 5

A nurse in an outpatient mental health clinic is caring for a client who has anorexia nervosa. The nurse is assessing the client during a follow-up visit. Which of the following findings indicate a therapeutic response to the treatment plan? (Select all that apply.)

A. Potassium level B. Temperature C. ECG report D. BUN level E. BMI.

Correct Answer: A,C,E

Rationale: Normal potassium, ECG, and increased BMI indicate improved nutrition and heart health, key signs of therapeutic response in anorexia nervosa.

Question 4 of 5

A nurse is caring for a client in the emergency department (ED). The client comes to the ED via ambulance. The client has a history of bipolar disorder and is experiencing acute mania. Select the 3 prescriptions that the nurse should anticipate for this client.

A. Administer 0.9% sodium chloride IV. B. Administer IV flumazenil. C. Prepare the client for intubation. D. Begin chest compressions E. Administer IV naloxone. F. Administer activated charcoal. G. Prepare the client for electroconvulsive therapy (ECT).

Correct Answer: A,E,G

Rationale: IV sodium chloride ensures hydration, naloxone addresses potential overdose, and ECT stabilizes severe mania, appropriate for acute mania management.

Question 5 of 5

A nurse is reviewing the medical record of a client. The client is an 18-year-old admitted to an inpatient psychiatric unit after passing out at home. The client reports using laxatives and 'making myself throw up after eating' for about 6 months. After reviewing the client's medical record and new diagnostic results

A. the nurse determines the client is at risk for developing which of the following? B. Hypomagnesemia C. Renal failure D. Heart failure E. Hyperthyroidism.

Correct Answer: A

Rationale: Laxative use and vomiting lead to magnesium loss, increasing hypomagnesemia risk, more directly tied to these behaviors than renal or heart failure.

ATI Mental Health PM 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN