ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who reports chest pain,headache,and shortness of breath. He continues to state,I don't know why my wife left me. The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?
Correct Answer: A
Rationale: The client's physical symptoms (chest pain headache shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety which is marked by intense physical and emotional distress. Moderate mild and severe anxiety do not present with such intense physical symptoms.
Question 2 of 5
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances,and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?
Correct Answer: B
Rationale: Generalized anxiety disorder (GA
D) is characterized by excessive anxiety and worry that is difficult to control and is associated with a variety of circumstances. Individuals with GAD often experience chronic worry about multiple life domains without a specific focus. Agoraphobia involves fear of situations where escape may be difficult separation anxiety disorder involves fear of being separated from loved ones and panic disorder involves recurrent panic attacks none of which match the described symptoms as closely as GAD.
Question 3 of 5
A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?
Correct Answer: B
Rationale: Gradual exposure to feared situations is a common treatment for agoraphobia. Sitting on a park bench for a few minutes each day represents a reasonable and incremental goal showing understanding of the treatment approach. Other options are too ambitious or counterproductive.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Rapid continuous speech spending large sums of money and flirtatious behavior are indicative of mania characterized by pressured speech impulsivity and inappropriate social interactions. Sleeping for long periods and dressing in dark clothing are more associated with depression.
Question 5 of 5
A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hr to a client. The amount available is chlordiazepoxide 25 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Solution: 25 mg is to 1 capsule as 50 mg is to x capsules. So 25 / 1 = 50 / x. Cross-multiplying: 25x = 50. Dividing both sides by 25: x = 2.
Therefore the nurse should administer 2 capsules per dose.