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 correct answer is A: Panic. The client's symptoms of chest pain, headache, shortness of breath, and cognitive distraction (focusing on wife leaving) indicate severe anxiety. Panic level of anxiety is characterized by intense fear, physical symptoms, and cognitive impairment.
Choices B, C, and D are incorrect as they represent varying levels of anxiety that are not as severe as panic. This client's symptoms do not align with moderate, mild, or severe anxiety levels. Panic is the most appropriate level based on the client's presentation.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Withhold the medication. Blurred vision and ataxia are potential signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider for further evaluation. Continuing to administer lithium can exacerbate these symptoms and lead to serious complications. Propranolol (choice
C) is not indicated for lithium toxicity. Levothyroxine (choice
D) is used to treat hypothyroidism, not lithium toxicity. Administering the next dose as prescribed (choice
B) would be inappropriate in this situation as it could worsen the client's symptoms.
Question 3 of 5
A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room,which of the following nursing actions is most therapeutic at this time?
Correct Answer: B
Rationale: The correct answer is B: Remain with the client for a while. This is the most therapeutic action because it provides immediate support and reassurance to the client experiencing panic-level anxiety. Remaining with the client shows empathy, comfort, and a sense of safety, which can help calm the client and establish trust. This action also allows the nurse to assess the client's current state and provide further assistance or intervention if needed.
Choices A, C, and D are incorrect because suggesting rest in bed may not address the client's emotional needs, having the client join a therapy group may be overwhelming at this point, and medicating with a sedative should be a last resort after other supportive measures have been attempted.
Question 4 of 5
A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?
Correct Answer: A
Rationale: The correct answer is A: Identify anxiety-producing situations. This instruction helps the client develop awareness of triggers, facilitating coping strategies. Repressing feelings (
B) can worsen anxiety. Contacting a crisis counselor weekly (
C) may not be necessary for chronic anxiety. Eliminating all stress (
D) is unrealistic.
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:
Correct
Answer: 2
Rationale:
To calculate the number of capsules needed per dose, divide the desired dose by the dose available per capsule. In this case, 50 mg / 25 mg = 2 capsules. The nurse should administer 2 capsules per dose to achieve the desired 50 mg dosage.
Summary of Other
Choices:
A: If the nurse administers 1 capsule, the dosage would be insufficient at 25 mg instead of the required 50 mg.
B, C, D, E, F, G: These choices are not correct as they do not follow the correct calculation method of dividing the desired dose by the dose available per capsule.