ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a psychiatric unit is providing discharge instructions to a client who has schizophrenia and a new prescription for clozapine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expect to have an increased risk of infection. Clozapine is an atypical antipsychotic medication known to suppress the immune system, leading to an increased risk of infections such as pneumonia. This instruction is crucial for the client's safety to monitor for signs of infection and seek medical attention promptly.
Choice A is incorrect as getting up quickly can lead to orthostatic hypotension, a common side effect of clozapine.
Choice C is irrelevant to clozapine use.
Choice D is incorrect as adequate fluid intake is essential to prevent constipation, a common side effect of clozapine.
Question 2 of 5
A nurse is assisting with obtaining informed consent from a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Request that the client’s guardian sign the consent. When a client is declared legally incompetent, their guardian is legally responsible for making decisions on their behalf, including providing consent for medical procedures. The guardian is appointed to act in the best interest of the client and has the authority to make decisions related to their care. Contacting the facility social worker (
A) may be necessary for support, but the guardian is the appropriate person to provide consent. Explaining implied consent to the client’s family (
B) is not sufficient as the guardian must sign the consent. Asking the charge nurse (
D) is not appropriate as the guardian has the legal authority. The other choices are left blank as they are not relevant to the situation.
Question 3 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Attention seeking. In histrionic personality disorder, individuals seek attention and approval excessively. This behavior is a key characteristic of the disorder. The other choices are incorrect because:
A) Lack of remorse is more associated with antisocial personality disorder;
C) Splitting of staff is a characteristic of borderline personality disorder;
D) Identity disturbance is commonly seen in borderline personality disorder as well.
Therefore, the most relevant finding for histrionic personality disorder is attention seeking.
Question 4 of 5
A nurse is reviewing the medical records for clients. Which of the following findings should the nurse identify as a risk factor for violent behavior?
Correct Answer: B
Rationale: The correct answer is B: Alcohol intoxication. Alcohol intoxication can impair judgment, lower inhibitions, and lead to aggressive behavior, increasing the risk for violence. It is a well-known risk factor for violent behavior due to its effects on the brain and behavior. Schizoid personality disorder (
A) is characterized by social detachment, not necessarily violence. Dysthymic disorder (
C) is a chronic low mood condition, not directly linked to violent behavior. Long-term isolation (
D) may contribute to mental health issues but does not directly indicate a risk for violent behavior in the same way as alcohol intoxication.
Question 5 of 5
A school nurse is caring for an adolescent client whose teacher reports changes in school performance and withdrawal from interaction with classmates. Which of the following interventions is the nurse’s priority at this time?
Correct Answer: C
Rationale: The correct answer is C: Ask the adolescent if he is considering hurting himself. This is the priority intervention because it addresses the immediate safety and well-being of the adolescent. By directly asking about self-harm or suicide ideation, the nurse can assess the level of risk and intervene appropriately if necessary. Contacting the parents (
A) can be important but not the priority in ensuring the adolescent’s immediate safety. Joining support groups (
B) may be beneficial in the long term but does not address the current risk. Determining when the behavior change began (
D) is relevant but not as urgent as assessing for suicidal ideation.