ATI RN
ATI 133 Mental Health Final Exam Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. The nurse recognizes that which of the following findings indicates the client is at risk for suicide?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
1. Increased impulsive behaviors in bipolar disorder may indicate heightened risk for suicide due to poor impulse control.
2. Impulsivity is a known risk factor for suicidal behavior in individuals with bipolar disorder.
3. Impulsive actions can lead to reckless behaviors that may result in self-harm or suicide.
4. Monitoring and addressing impulsivity is crucial in assessing suicide risk in clients with bipolar disorder.
Incorrect
Choices:
B. Wanting to be with family is a protective factor, reducing suicide risk.
C. Identifying with others' problems may indicate empathy but does not directly suggest suicide risk.
D. Engaging in group activities like basketball is a positive coping strategy and does not inherently indicate suicide risk.
Question 2 of 5
A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should be an appropriate response by the nurse?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Option A demonstrates active listening and encourages further exploration of the client's feelings and perspectives. It shows empathy and promotes open communication. It allows the nurse to understand the client's concerns about returning to work and address them effectively.
Summary:
B: This choice is not appropriate as it focuses on resolving interpersonal conflicts rather than addressing the client's concerns about their diagnosis.
C: This choice dismisses the potential need for medication and minimizes the importance of therapeutic support.
D: This choice addresses a physical behavior without directly addressing the client's emotional concerns about work.
Question 3 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients with bipolar disorder? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Valproate, Carbamazepine, and Lithium are commonly used to treat clients with bipolar disorder. Valproate helps stabilize mood swings, Carbamazepine is effective for manic episodes, and Lithium is a mood stabilizer that reduces the frequency and intensity of manic episodes. Donepezil is used to treat Alzheimer's disease, not bipolar disorder. Paroxetine is an antidepressant used for treating depression and anxiety disorders, not specifically for bipolar disorder. In summary, Valproate, Carbamazepine, and Lithium are the appropriate medications for managing bipolar disorder, while Donepezil and Paroxetine are not typically used for this purpose.
Question 4 of 5
A nurse is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D. Alcohol withdrawal can lead to seizures due to hyperexcitability of the nervous system. Tachycardia is common as alcohol withdrawal can cause increased heart rate and blood pressure. Hallucinations are possible due to disturbances in brain function. Tremors are a typical symptom of alcohol withdrawal, known as "the shakes."
Choices E and F, hypotension and G, are not typically associated with alcohol withdrawal. In summary, the correct symptoms are related to central nervous system hyperactivity, while the incorrect choices are not commonly observed in alcohol withdrawal.
Question 5 of 5
A nurse is teaching a female client who has an anxiety disorder and is prescribed alprazolam (Xanax). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: This medication may cause dizziness upon standing. Alprazolam is a benzodiazepine that can cause dizziness as a side effect, especially when standing up quickly. This information is important for the client to prevent falls or accidents.
A: Missing a dose should not be addressed by doubling the next dose as it can lead to overdose or adverse effects.
C: Although contraceptives might be important to discuss, it is not specifically related to the medication itself.
D: Alcohol should be avoided while taking alprazolam due to the increased risk of side effects and potential interactions, but it is not the most crucial information for the client's safety.