ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.
Question 2 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I know it will be a couple of weeks before the medication helps me feel better." This statement indicates the client understands that amitriptyline takes time to be effective in treating depressive symptoms. This shows awareness of the delayed onset of action typical for antidepressants.
Choice A is incorrect as St. John's wort can interact with amitriptyline, leading to increased side effects.
Choice C is incorrect because amitriptyline may actually lower blood pressure.
Choice D is incorrect as amitriptyline is usually taken with food to decrease gastrointestinal side effects.
Question 3 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder typically display attention-seeking, dramatic, and overly emotional behavior. They often crave validation and may feel uncomfortable when they are not the center of attention. This behavior is characterized by a strong focus on oneself and a tendency to exaggerate emotions for effect.
Choice A, Suspicious of others, is more indicative of paranoid personality disorder.
Choice B, Callousness, is more characteristic of antisocial personality disorder.
Choice D, Violates others' rights, is more aligned with antisocial or narcissistic personality disorders.
Therefore, the most appropriate manifestation for histrionic personality disorder is self-centered behavior.
Question 4 of 5
A nurse is teaching a client who has generalized anxiety disorder about buspirone. Which statement indicates the client understands the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid grapefruit juice while taking this medication." This is because grapefruit juice can interfere with the metabolism of buspirone, potentially leading to increased levels of the medication in the body. This can result in an increased risk of side effects and adverse reactions.
Therefore, it is important for the client to avoid consuming grapefruit juice while taking buspirone to ensure the medication works effectively and safely.
Other choices are incorrect:
A: Taking buspirone as needed for acute anxiety is not recommended as this medication is typically taken on a regular schedule to maintain its effectiveness.
B: Sedation and drowsiness are possible side effects of buspirone, but not a key indicator of understanding the teaching.
D: While there is a risk of dependence with some anxiety medications, buspirone is not associated with significant dependence potential.
Question 5 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Inability to carry out a simple task. During a depressive episode in bipolar disorder, individuals often experience symptoms such as difficulty concentrating, making decisions, and carrying out tasks due to low energy levels and lack of motivation. This is known as psychomotor retardation, which is common in depressive episodes of bipolar disorder.
Choice B is incorrect as auditory hallucinations are more commonly associated with psychotic features in bipolar disorder, such as during manic episodes.
Choice C, moving quickly from one idea to the next, is a symptom more characteristic of a manic episode where there is racing thoughts and increased energy levels.
Choice D, expressing illusions of grandeur, is also more indicative of a manic episode where individuals may have inflated self-esteem and grandiose beliefs.