ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. During adolescence, individuals explore and develop their sense of self and try to establish a coherent identity. This stage aligns with Erikson's theory of psychosocial development. Option A (Generativity vs self-absorption) is more relevant to middle adulthood. Option B (Trust vs mistrust) pertains to infancy. Option C (Intimacy vs isolation) relates to young adulthood.
Therefore, the correct stage for an adolescent client would be D, as they are likely navigating issues related to their identity and role in society.
Question 2 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: Maintaining adequate hydration is crucial when taking lithium to prevent toxicity. Lithium is excreted through the kidneys, and dehydration can lead to increased lithium levels in the blood. Drinking 2-3 liters of water daily helps to maintain proper lithium levels and reduces the risk of toxicity.
Summary:
A: Reducing sodium intake is not directly related to lithium's effectiveness.
B: Taking lithium on an empty stomach may cause gastrointestinal side effects, but it's not a requirement.
C: Drinking 2-3 liters of water daily is essential to prevent lithium toxicity.
D: Stopping lithium abruptly can trigger a relapse of bipolar symptoms.
Question 3 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.
Question 4 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I know it will be a couple of weeks before the medication helps me feel better." This statement indicates the client understands that amitriptyline takes time to show its therapeutic effects, typically a few weeks. This shows the client has realistic expectations about the medication's onset of action.
Choice A is incorrect because St. John's wort can interact with amitriptyline, leading to increased side effects.
Choice C is incorrect because amitriptyline can actually lower blood pressure.
Choice D is incorrect because amitriptyline should be taken with food to reduce stomach upset.
Question 5 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I know it will be a couple of weeks before the medication helps me feel better." This statement indicates the client understands that amitriptyline takes time to be effective in treating depressive symptoms. This shows awareness of the delayed onset of action typical for antidepressants.
Choice A is incorrect as St. John's wort can interact with amitriptyline, leading to increased side effects.
Choice C is incorrect because amitriptyline may actually lower blood pressure.
Choice D is incorrect as amitriptyline is usually taken with food to decrease gastrointestinal side effects.