ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a psychiatric unit is planning care for a client who has paranoid personality disorder. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Avoid challenging the client's paranoid beliefs. This is important in working with clients with paranoid personality disorder to build trust and rapport. Challenging their beliefs can increase their defensiveness and exacerbate their paranoia. Encouraging group therapy (
A) may trigger feelings of being targeted or watched. Maintaining eye contact (
C) could be interpreted as threatening. Using humor (
D) may not be appropriate as it can be misinterpreted.
Question 2 of 5
A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the following findings should the nurse document as an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C: Contractions of the jaw. Thioridazine is an antipsychotic medication that can cause extrapyramidal side effects, such as jaw contractions known as trismus or dystonia. This is a common adverse effect that the nurse should document. Anhedonia (
A) is a symptom of schizophrenia, not an adverse effect of thioridazine. Waxy flexibility (
B) is a symptom of catatonia, not a side effect of thioridazine. Incongruent affect (
D) is a symptom related to the client's emotional expression, not a side effect of the medication.
Question 3 of 5
A nurse is providing teaching to a client who has schizophrenia and is prescribed risperidone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Rise slowly from a sitting position. This instruction is important because risperidone can cause orthostatic hypotension, leading to dizziness or fainting when standing up quickly. By rising slowly, the client can avoid sudden drops in blood pressure.
Choice A is incorrect as there is no specific need to avoid direct sunlight with risperidone.
Choice C is incorrect because risperidone can be taken with or without food.
Choice D is incorrect as weight gain, not weight loss, is a common side effect of risperidone in clients with schizophrenia.
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. Delirium is characterized by confusion and disorientation. Using a calendar can help the client stay oriented to time, which can decrease anxiety and prevent worsening confusion. Refuting hallucinations (
B) is not effective as it can lead to increased agitation. Teaching assertive techniques (
C) is not relevant for managing delirium. Assigning different caregivers (
D) can exacerbate confusion due to lack of consistency.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is taking lithium. Which of the following values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 1.5 mg/dL. This value should be reported to the provider because lithium can affect kidney function, leading to renal impairment. Creatinine is a marker of kidney function, and an elevated level could indicate potential kidney damage from lithium. The other choices (A, B,
D) are within normal ranges and not directly related to lithium therapy monitoring. Sodium and potassium levels may be affected by other factors such as diet or hydration status.
Therefore, the nurse should prioritize reporting the creatinine level to ensure the provider can assess the client's renal function in relation to lithium therapy.