ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Extract:
Question 1 of 5
A nurse in an acute mental health facility is creating a plan of care for a new client who has histrionic personality disorder. Which of the following is the priority intervention for the nurse to make?
Correct Answer: D
Rationale: Managing attention-seeking behavior in group therapy ensures safety and focus. Input (
A), concrete language (
B), and assertiveness (
C) are secondary.
Extract:
Nurses' Notes
Client comes to the ED with nausea, vomiting, confusion, and tremors. Client is agitated and irritable. Orientated only to self. The client states. "I'm tired of all these people in my house: visiting is over, my mom is dead, and I need to rest before the funeral."
The client's partner states the client's mother died 6 years ago. The client's partner states that the client has been drinking "a lot" for the past 6 months. The client agreed to stop drinking 2 days ago. The partner believes that the client's last drink was roughly 36 hr ago.
Vital Signs
Temperature 99.2°F (37.30 C)
Heart rate 90/min
Respiratory rate 22/min.
Blood pressure 170/95 mm Hg
Question 2 of 5
A nurse is caring for a client in the emergency department (ED). Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Alcohol withdrawal syndrome (
B) matches symptoms 36 hours post-cessation. Actions: provide safe environment (
C), administer lorazepam (
D). Monitor: fluid/electrolyte status (
D). Depression (
A), bipolar (
C), and neglect (
D) don’t fit; padding rails (
A), reporting (
B), affect (
A), manipulation (
B), and serotonin syndrome (
C) are irrelevant.
Extract:
Question 3 of 5
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Correct Answer: A
Rationale: Sudden mood improvement may indicate suicide risk, so monitoring whereabouts ensures safety. Rewarding behavior (
B), asking why (
C), or family outings (
D) do not prioritize safety.
Question 4 of 5
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?
Correct Answer: C
Rationale: Excessive sweating, low sodium, or diarrhea cause dehydration, increasing lithium toxicity risk. Green tea (
A), moderate exercise (
B), and increased sodium (
D) do not directly cause toxicity.
Question 5 of 5
A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Consistent routines stabilize mood and reduce agitation. Stimulation (
A), seclusion (
B), and napping bans (
D) may worsen mania.