ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is assessing a client who has schizophrenia. The nurse should document which of the following as a positive symptom?
Correct Answer: C
Rationale: The correct answer is C: Delusions. Positive symptoms refer to added behaviors or experiences not typically present in individuals without schizophrenia. Delusions are false beliefs that are not based on reality, which are considered a positive symptom. Social withdrawal (
A) is a negative symptom, involving a reduction or absence of normal behaviors. Flat affect (
B) is also a negative symptom, characterized by a lack of emotional expression. Lack of motivation (
D) is another negative symptom, reflecting reduced ability to initiate and sustain goal-directed activities.
Therefore, delusions (
C) align with positive symptoms of schizophrenia, making it the correct choice.
Question 2 of 5
A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Changing the AP's assignment is appropriate because it addresses the AP's feelings of irritation in a professional manner. It ensures the client's care is not compromised due to the AP's negative emotions. It shows empathy towards the AP's concerns while prioritizing the client's well-being.
Summary:
A: Minimizes the client's feelings and does not address the AP's issue.
B: Focuses on the client's needs but does not address the AP's feelings.
C: Invalidates the AP's emotions and does not promote a supportive environment.
D: Addresses both the AP's feelings and the client's care effectively.
E, F, G: Not provided.
Question 3 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing a depressive episode. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Provide frequent rest periods. During a depressive episode in bipolar disorder, the client may experience fatigue and low energy levels. Providing frequent rest periods helps the client conserve energy and promotes relaxation, which can alleviate feelings of exhaustion and support overall mental well-being. Encouraging excessive physical activity (choice
A) can be harmful as it may exacerbate feelings of fatigue and overwhelm the client. Discouraging interaction with others (choice
C) can further isolate the client and worsen feelings of loneliness. Implementing a rigid daily routine (choice
D) may increase stress and anxiety for the client, which is counterproductive during a depressive episode.
Question 4 of 5
A nurse is reviewing laboratory findings for a client who is taking valproic acid. Which of the following results should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: ALT 65 units/L. Elevated ALT levels indicate possible liver damage, a known side effect of valproic acid. The nurse should report this to the provider for further evaluation and management. Platelets at 250,000/mm³ (
A), AST at 45 units/L (
B), and WBC at 9,000/mm³ (
C) are within normal ranges and not directly associated with valproic acid toxicity.
Therefore, they do not require immediate reporting.
Question 5 of 5
A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Place the child in seclusion. This action should be taken first to ensure the safety of the other children in the unit and prevent further physical aggression. Seclusion can help calm the child down and prevent harm to others. Using a therapeutic hold technique (
B) or applying wrist restraints (
C) may escalate the situation and pose a risk of injury to the child and others. Administering risperidone (
D) is a medication used for behavioral disorders, but it is not the first step in managing immediate physical aggression. It is crucial to prioritize safety and de-escalation strategies in such situations.