ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D because the client taking clozapine reporting a sore throat could indicate a potentially serious side effect called agranulocytosis, which requires immediate medical attention to prevent complications. Agranulocytosis is a rare but life-threatening condition that can lead to severe infections due to a drastic decrease in white blood cells.
Therefore, the nurse should prioritize assessing this client to ensure prompt intervention if necessary.
Choice A is incorrect because mocking behavior, although inappropriate, does not pose an immediate physical threat to the client or others.
Choice B is incorrect as the upset about a change in routine can be addressed after addressing urgent medical concerns.
Choice C is incorrect since assistance with ADLs can be provided once the client with the sore throat is assessed and treated.
Question 2 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B: "I may experience increased thoughts of suicide at the beginning of treatment." This statement indicates an understanding of the medication, fluoxetine, because it is important for the client to be aware of the potential risk of increased suicidal thoughts, especially at the beginning of treatment. This is a crucial safety concern in patients with major depressive disorder starting antidepressants. The client should be monitored closely for any changes in mood or behavior and report any concerning thoughts to the healthcare provider immediately.
Incorrect choices:
A: "I should expect to see improvement in my mood within a few days." - This is incorrect because fluoxetine can take several weeks to show its full therapeutic effects.
C: "I need to avoid foods high in tyramine while taking this medication." - This is incorrect as tyramine restriction is typically associated with MAOIs, not SSRIs like fluoxetine.
D: "I will need to have my lithium levels checked regularly." - This is incorrect as lithium levels
Question 3 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder typically display attention-seeking, dramatic, and overly emotional behavior. They often crave validation and may feel uncomfortable when they are not the center of attention. This behavior is characterized by a strong focus on oneself and a tendency to exaggerate emotions for effect.
Choice A, Suspicious of others, is more indicative of paranoid personality disorder.
Choice B, Callousness, is more characteristic of antisocial personality disorder.
Choice D, Violates others' rights, is more aligned with antisocial or narcissistic personality disorders.
Therefore, the most appropriate manifestation for histrionic personality disorder is self-centered behavior.
Question 4 of 5
A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Confabulation. Confabulation is the unintentional fabrication of details or events to fill in memory gaps, often seen in clients with dementia. In this scenario, the client is creating false memories of taking care of other residents, which is characteristic of confabulation.
A: Projection involves attributing one's thoughts or feelings to others, not relevant here.
B: Perseveration is the repetition of a particular response, also not applicable.
C: Agnosia is the inability to recognize familiar objects or people, not demonstrated in this case.
In summary, the client's statement aligns with confabulation as it involves unintentional fabrication of memories, making it the correct choice among the options provided.
Question 5 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease to prevent them from wandering and getting lost. Placing locks at the tops of exterior doors can help ensure the client's safety by restricting their ability to leave the house unsupervised. This intervention is crucial in managing the risks associated with the client's cognitive impairment.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering in a client with Alzheimer's disease.
B: Encouraging physical activity prior to bedtime may not be directly related to the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not significantly impact the client's safety in terms of wandering.
Overall, placing locks at the tops of exterior doors is the most appropriate action to address the safety needs of a client with Alzheimer's disease.