ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Self-mutilation. Individuals with borderline personality disorder often engage in self-harming behaviors as a way to cope with intense emotions or distress. This behavior is a common manifestation of the disorder and requires careful monitoring and intervention by the nurse.
Incorrect
Choices:
B: Pacing back and forth - This behavior is more commonly associated with anxiety or agitation rather than specifically with borderline personality disorder.
C: Preoccupation with details - While individuals with borderline personality disorder may display perfectionistic tendencies, preoccupation with details is not a defining characteristic of the disorder.
D: Disorganized speech - Disorganized speech is more commonly seen in conditions such as schizophrenia, rather than borderline personality disorder.
Question 2 of 5
A nurse is reviewing the laboratory results on an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hgb 10 g/dL. In an adolescent with anorexia nervosa, low hemoglobin (Hgb) levels are expected due to malnutrition and inadequate intake of essential nutrients. Anorexia nervosa can lead to a deficiency in essential nutrients such as iron, which can result in anemia and low Hgb levels. This is a common finding in individuals with anorexia nervosa.
Blood glucose of 100 mg/dL (choice
A) is within the normal range and not specific to anorexia nervosa. T4 of 11 mcg/dL (choice
B) is also within the normal range and not typically affected by anorexia nervosa. Potassium of 3.7 mEq/L (choice
C) is within the normal range and not a common finding in anorexia nervosa.
Therefore, the correct answer is D as it is a common laboratory finding associated with anorexia nervosa.
Question 3 of 5
A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A: This medication is given to help with extrapyramidal side effects.
Rationale:
1. Benztropine is an anticholinergic medication commonly used to manage extrapyramidal side effects (EPS) caused by antipsychotic medications.
2. EPS include symptoms like tremors, muscle stiffness, and restlessness, which can occur with antipsychotic use.
3. By blocking certain neurotransmitters in the brain, benztropine helps alleviate these side effects.
4. Other choices are incorrect:
- B: Benztropine does not treat depression, as it is not an antidepressant.
- C: Benztropine does not directly address hallucinations, which are typically managed with antipsychotic medications.
- D: Benztropine does not specifically target tachycardia, which may be a side effect of other medications but not the primary indication for benztropine use.
Question 4 of 5
A nurse is planning care for a client with acute delirium. Which of the following instructions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Reinforce the client's orientation with the calendar. This is because in acute delirium, the client may experience confusion and disorientation. Using a calendar can help provide structure and aid in orientation.
Choice B is incorrect as refuting hallucinations may worsen the client's agitation.
Choice C is incorrect as assertive techniques are not typically used in managing acute delirium.
Choice D is incorrect as consistency in caregivers is important for continuity of care in delirium management.
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 improve mood and reduce symptoms of depression by increasing endorphins. This intervention can help the client combat feelings of sadness and hopelessness.
A: Discouraging the client from expressing feelings of anger is not therapeutic and may further suppress emotions, worsening depression.
B: Identifying and scheduling alternative group activities can be helpful, but it may not directly address the physical aspect of depression.
D: Keeping a bright light on in the client's room at night may disrupt sleep patterns and is not a targeted intervention for major depressive disorder.