ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Confabulation. Confabulation is a symptom of dementia where false memories are created unintentionally. In this scenario, the client is creating a false memory of taking care of all residents in the facility in the past. This is a common feature of dementia and is not intentional lying.
A: Projection involves attributing one's own thoughts or feelings to someone else.
B: Perseveration is the repetition of a particular response, such as words, thoughts, or actions.
C: Agnosia is the inability to recognize or interpret sensory information.
In summary, D is the correct answer because it aligns with the symptom of confabulation seen in dementia, while the other choices do not accurately describe the client's behavior in this scenario.
Question 2 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. Adolescents typically fall within Erikson's stage of Identity vs role confusion, where they explore their sense of self and develop a cohesive identity. During this stage, they may experiment with different roles and beliefs to establish their self-concept. Trust vs mistrust (
B) is the stage for infants, Generativity vs self-absorption (
A) is for middle adulthood, and Intimacy vs isolation (
C) is for young adulthood. The other choices are not relevant to the developmental stage of an adolescent.
Question 3 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms in individuals with opioid use disorder. It works by binding to the same receptors as opioids, reducing cravings and withdrawal symptoms. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for opioid overdose reversal, not prevention of withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not typically used for opioid withdrawal.
Question 4 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. This is important because individuals experiencing mania in bipolar disorder often have high energy levels, decreased need for sleep, and exhibit impulsive behaviors. Encouraging rest periods can help to regulate their energy levels and promote relaxation, which can aid in managing symptoms of mania.
Choice A is incorrect because placing the client in seclusion can exacerbate feelings of anxiety and agitation.
Choice B may not be effective as spending time in a dayroom may not address the client's need for rest.
Choice C is not appropriate as withdrawing TV privileges may not be directly related to managing mania symptoms.
In summary, encouraging the client to take frequent rest periods is the most appropriate intervention as it directly addresses the symptoms of mania by helping to regulate energy levels and promote relaxation.
Question 5 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B: "I may experience increased thoughts of suicide at the beginning of treatment." This statement indicates an understanding of the medication, fluoxetine, because it is important for the client to be aware of the potential risk of increased suicidal thoughts, especially at the beginning of treatment. This is a crucial safety concern in patients with major depressive disorder starting antidepressants. The client should be monitored closely for any changes in mood or behavior and report any concerning thoughts to the healthcare provider immediately.
Incorrect choices:
A: "I should expect to see improvement in my mood within a few days." - This is incorrect because fluoxetine can take several weeks to show its full therapeutic effects.
C: "I need to avoid foods high in tyramine while taking this medication." - This is incorrect as tyramine restriction is typically associated with MAOIs, not SSRIs like fluoxetine.
D: "I will need to have my lithium levels checked regularly." - This is incorrect as lithium levels