ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse in an acute care mental health facility is caring for a client who has major depression and states, 'Everyone will be much better off when I’m gone.' Which of the following actions should the nurse take first?

A. Administer a prescribed anti-anxiety medication, instituting mouth checks to assure it is swallowed. B. Inform the provider about the client's statement. C. Assure that a staff member stays with the client at all times.

Correct Answer: C

Rationale: Constant supervision (
C) ensures immediate safety for suicidal ideation. Medication (
A) and informing the provider (
B) follow after securing safety.

Question 2 of 5

A nurse is reviewing the admission laboratory values for a client who has a history of bulimia nervosa. Which of the following findings is the nurse's priority?

A. Hgb 11 g/dL B. Potassium 2.8 mEq/L C. Serum chloride 96 mEq/L D. Serum amylase 240 units/L

Correct Answer: B

Rationale: Severe hypokalemia (
B) at 2.8 mEq/L risks cardiac arrhythmias, making it urgent. Mild anemia (
A), low chloride (
C), and elevated amylase (
D) are less immediate.

Question 3 of 5

A nurse is in the day room of an acute care mental health facility with a group of clients who are watching television. Suddenly, one of the clients jumps up screaming and runs out of the room. What should the nurse do next?

A. Ask the group what they think about the client's behavior. B. Stay with the group and ask another client to go and check on the situation. C. Follow the client to determine the cause of the behavior. D. Ignore the incident since it is an attention-seeking behavior.

Correct Answer: C

Rationale: Following the client (
C) assesses safety and cause. Asking the group (
A) breaches confidentiality, delegating (
B) is unsafe, and ignoring (
D) neglects duty.

Question 4 of 5

A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. What should the nurse respond?

A. You really should work hard to stay on the schedule we establish here.' B. I wouldn’t worry about what you’ve done in the past.' C. You’ll do just fine this time.' D. Why do you find it difficult to take your medications if they improve your condition?'

Correct Answer: D

Rationale: Exploring difficulties (
D) identifies barriers to tailor solutions. Effort (
A) dismisses, past (
B) and fine (
C) offer false reassurance.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a history of depression about a new prescription for fluoxetine. Which statement by the client indicates understanding of the teaching?

A. I will increase my water intake up to 8 glasses a day.' B. I may experience sedation and sleepiness.' C. I will notice an improvement in my sex drive.' D. I should expect to feel better within 3 to 4 days.'

Correct Answer: B

Rationale: Sedation (
B) is a common fluoxetine side effect, showing understanding. Water (
A) isn’t specific, sex drive (
C) may decrease, and improvement takes weeks (
D).

ATI PN Mental Health Chamberlain 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN