ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in an inpatient mental health facility is planning care for a client who has schizophrenia and is experiencing delusions. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to focus on reality-based topics. This intervention is important to help the client differentiate between delusions and reality, promoting insight and coping skills. By redirecting the client's focus to reality-based topics, the nurse can help decrease the intensity of delusions and foster a connection to the present moment.
Choices B and C would reinforce the delusions, exacerbating the client's symptoms.
Choice D may provide temporary relief but does not address the underlying issue of delusions.
Question 2 of 5
A nurse is developing a plan of care for a client who has post-traumatic stress disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to use relaxation techniques. This intervention is important for managing symptoms of post-traumatic stress disorder (PTS
D) such as anxiety and hyperarousal. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and guided imagery, can help the client cope with stress and regulate their emotions. Encouraging the client to use these techniques promotes self-soothing and enhances the client's ability to manage distressing symptoms.
Choices A, B, and D are incorrect because they can be harmful and counterproductive in treating PTSD. Encouraging the client to suppress traumatic memories or discouraging discussion of the trauma can worsen symptoms and prevent healing. Limiting the client's participation in activities can also hinder their recovery and lead to social isolation. It is essential to focus on evidence-based interventions like relaxation techniques to support the client's mental health and well-being.
Question 3 of 5
A nurse in an inpatient mental health facility is planning care for a client who has schizophrenia and is experiencing delusions. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to focus on reality-based topics. This intervention is important to help the client differentiate between delusions and reality, promoting insight and coping skills. By redirecting the client's focus to reality-based topics, the nurse can help decrease the intensity of delusions and foster a connection to the present moment.
Choices B and C would reinforce the delusions, exacerbating the client's symptoms.
Choice D may provide temporary relief but does not address the underlying issue of delusions.
Question 4 of 5
A nurse is providing teaching to a client who has depression and a new prescription for amitriptyline. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take this medication at bedtime. Amitriptyline is a tricyclic antidepressant known for causing drowsiness as a side effect. Instructing the client to take it at bedtime can help minimize the sedative effects and improve adherence.
Choice B is incorrect because antidepressants like amitriptyline can take several weeks to show significant improvement in symptoms, not within 24 hours.
Choice C is incorrect as tyramine restriction is typically associated with MAOIs, not tricyclic antidepressants like amitriptyline.
Choice D is incorrect because abruptly stopping amitriptyline can lead to withdrawal symptoms and potential relapse of depression symptoms.
Question 5 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing a depressive episode. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Provide frequent rest periods. During a depressive episode in bipolar disorder, the client may experience fatigue and low energy levels. Providing frequent rest periods helps the client conserve energy and promotes relaxation, which can alleviate feelings of exhaustion and support overall mental well-being. Encouraging excessive physical activity (choice
A) can be harmful as it may exacerbate feelings of fatigue and overwhelm the client. Discouraging interaction with others (choice
C) can further isolate the client and worsen feelings of loneliness. Implementing a rigid daily routine (choice
D) may increase stress and anxiety for the client, which is counterproductive during a depressive episode.