ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: High fever. The priority finding is high fever because it could indicate a potentially serious adverse reaction called neuroleptic malignant syndrome (NMS) associated with haloperidol use. NMS is a life-threatening condition characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction. Prompt recognition and treatment of NMS are crucial to prevent complications. Insomnia (
B), urinary hesitancy (
C), and headache (
D) are common side effects of haloperidol but are not as urgent as high fever, which could signify a medical emergency.
Question 2 of 5
A nurse is speaking with a client. Which of the following responses by the nurse demonstrates the communication technique of reflection?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the communication technique of reflection. By saying "You feel upset when this happens?", the nurse is reflecting the client's feelings back to them, showing empathy and understanding. This technique helps the client feel heard and validated.
Choice A is empathetic but does not reflect the client's feelings.
Choice C focuses on problem-solving.
Choice D is open-ended but does not reflect the client's emotions.
Question 3 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: C
Rationale: The correct answer is C: "I don’t feel anything but numbness anymore." This statement indicates a significant emotional numbness, which is a common symptom of clinical depression. It suggests a lack of normal emotional responses, which can be concerning.
Choice A does not specifically indicate clinical depression but rather expresses a need for support.
Choice B reflects a natural response to grief and does not necessarily indicate depression.
Choice D suggests anger, which can also be a normal part of the grieving process.
In summary,
Choice C is the correct answer as it directly points to a key symptom of clinical depression, while the other choices reflect common emotional responses to grief that may not necessarily indicate depression.
Question 4 of 5
A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: 12.5 mL.
To calculate this, we first determine the total amount needed, which is 25 mg.
Then, we use the concentration of the syrup, which is 10 mg/5 mL. By setting up a proportion (25 mg = x mL), we can cross multiply to find x, which equals 12.5 mL.
Choice B (10 mL) is incorrect because it does not provide the full 25 mg dose.
Choices C (15 mL) and D (5 mL) are incorrect as they do not align with the calculated dose based on the concentration of the syrup.
Question 5 of 5
A nurse is teaching the parent of a school-age child who has ADHD and a prescription for atomoxetine 40 mg daily. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Administer the medication before the child goes to school in the morning. Atomoxetine is a non-stimulant medication used to treat ADHD. Administering it in the morning allows for optimal absorption and effectiveness during the school day. This helps in improving the child's focus and attention span in a learning environment. Additionally, taking the medication in the morning helps in minimizing potential side effects such as insomnia.
Choices A, B, and C are incorrect because weight gain is not a common side effect of atomoxetine, crushing the medication can alter its effectiveness, and therapeutic effects usually take a few weeks to manifest, not within 24 hours.