ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the morning dose of lithium. The nurse should administer the medication as prescribed because the client's current lithium level of 1.0 mEq/L is within the therapeutic range (0.6-1.2 mEq/L). Holding the medication (option
D) unnecessarily disrupts the treatment plan and can potentially lead to a relapse of the client's condition. Checking the medication record for refusals (option
B) is not necessary at this point since the current lithium level is within the therapeutic range. Gastric lavage (option
C) is not indicated as the lithium level is not extremely elevated. In summary, administering the morning dose of lithium is appropriate as the current level is therapeutic, ensuring continuity of care and adherence to the treatment plan.
Question 2 of 5
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
To administer 100 mcg of levothyroxine daily using 50 mcg tablets, the nurse should give 2 tablets. Each tablet is 50 mcg, so 2 tablets equal 100 mcg, meeting the prescribed dose. The nurse should round the answer to the nearest whole number, which is 2 in this case. Other choices like 1 tablet (50 mcg) would be insufficient to reach the required 100 mcg dose.
Choices above 2 tablets would exceed the prescribed dose, potentially leading to adverse effects. It's important to ensure the correct dosage is given to maintain the patient's thyroid hormone levels within the therapeutic range.
Question 3 of 5
A client who has bipolar disorder states,I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator. Which of the following findings is this client exhibiting?
Correct Answer: C
Rationale: The correct answer is C: Grandiosity. The client's statement of feeling like Superman and believing they can do anything, such as flying home and becoming a U.S. Senator, reflects grandiosity, a symptom commonly seen in bipolar disorder's manic phase. Grandiosity is characterized by an exaggerated sense of self-importance, power, and abilities. This client's unrealistic beliefs and inflated self-esteem are indicative of grandiosity, a hallmark symptom of bipolar disorder.
Choices A, B, and D are incorrect because reality testing refers to the ability to assess the accuracy of one's perceptions, derealization involves feeling detached from one's surroundings, and flight of ideas is a symptom of pressured speech and racing thoughts often seen in mania.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests must be monitored. Valproate is known to potentially cause liver damage, so monitoring liver function tests is crucial to detect any signs of hepatotoxicity early. Regular monitoring helps prevent serious complications.
Choice B is incorrect as valproate does not typically affect thyroid function, so routine thyroid function tests are not necessary.
Choice C is incorrect as an EEG is not required for monitoring valproate therapy.
Choice D is incorrect as high serum sodium levels do not impact valproate levels.
Therefore, the most important instruction for the nurse to give the client is to monitor liver function tests.
Question 5 of 5
A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Urinary frequency. In moderate anxiety, the sympathetic nervous system is activated, leading to increased adrenaline release. This can result in physical symptoms like urinary frequency due to increased blood flow to muscles and decreased blood flow to the bladder. Chills (choice
A) are more common in severe anxiety. Rapid speech (choice
C) is often seen in mild anxiety. Distorted perceptual field (choice
D) is characteristic of severe anxiety. Other choices are irrelevant to moderate anxiety.