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 schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state?
Correct Answer: A
Rationale: The correct answer is A: "What are the voices telling you?" This response demonstrates active listening and shows empathy towards the client's experience, which helps in building trust. By asking about the content of the voices, the nurse can assess the severity of the hallucinations and potential risks.
Choice B does not address the client's concerns effectively.
Choice C is important but not the priority at this moment as assessing the hallucinations is crucial.
Choice D is relevant but doesn't address the immediate need to assess the content of the voices.
Question 2 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A, D, E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time helps in enhancing understanding and compliance due to cognitive impairment in dementia.
D: Reinforcing orientation to time, place, and person helps maintain the client's connection to reality and reduce confusion.
E: Establishing eye contact when communicating with the client promotes engagement and connection, aiding in effective communication.
Incorrect choices:
B: Refuting delusions using logic may escalate confusion and distress in the client with dementia.
C: Allowing the client to choose among a variety of activities may overwhelm them due to cognitive limitations.
Question 3 of 5
A client with schizophrenia is prescribed risperidone. Which of the following should the nurse monitor for as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. Risperidone, an atypical antipsychotic, is known to cause metabolic side effects such as weight gain due to its impact on appetite regulation and metabolism. The nurse should monitor the client's weight regularly to detect any significant changes. Increased blood pressure (
Choice
A) is not a common adverse effect of risperidone. Excessive salivation (
Choice
C) is more commonly associated with medications that affect cholinergic receptors. Bradycardia (
Choice
D) is not a typical side effect of risperidone, which is more likely to cause tachycardia.
Question 4 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: C
Rationale:
Correct Answer: C - "We can provide a copy of your records, but the therapist's notes are not included."
Rationale: The correct response respects the client's request for access to their records while also upholding the therapist's confidentiality. Providing a copy of the client's records ensures transparency and empowers the client to be informed about their treatment. However, withholding the therapist's notes protects the therapist-client relationship and maintains the integrity of the therapeutic process. This response balances the client's rights with ethical considerations.
Incorrect
Choices:
A: This response does not address the client's request and may imply judgment or deflection.
B: Asking why the client wants to see the therapist's notes could be seen as intrusive and may not be relevant to fulfilling the request.
D: Discouraging the client from reviewing the therapist's notes undermines their autonomy and right to access their records.
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 an understanding of the delayed onset of action of amitriptyline in treating depressive disorders. It is important for the client to be aware that antidepressants like amitriptyline may take a few weeks to start working. This shows the client has realistic expectations about the medication.
Choice A is incorrect because St. John's wort can interact with amitriptyline and should not be taken together.
Choice C is incorrect because amitriptyline is more likely to lower blood pressure rather than raise it.
Choice D is incorrect because amitriptyline should generally be taken with food to minimize gastrointestinal side effects.