ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Correct Answer: C
Rationale: The correct answer is C: Mental status examination (MSE). This is essential for assessing cognitive function, memory, orientation, and executive function in older adults with suspected cognitive disorders. The MSE helps identify any abnormalities in thinking, behavior, and mood, providing valuable information for diagnosis and treatment planning.
A: Brief PHQ focuses on assessing depression symptoms, not cognitive function.
B: AIMS is used to assess movement disorders like tardive dyskinesia.
D: SANS evaluates negative symptoms in schizophrenia, not cognitive function.
In summary, the MSE is the most appropriate choice for assessing cognitive disorders in older adults, while the other options are more suited for different assessments.
Question 2 of 5
A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse's priority response?
Correct Answer: A
Rationale: The correct answer is A: "Are you thinking of harming yourself?" This is the priority response because it directly addresses the client's expression of suicidal ideation, which is a serious concern in major depressive disorder. By asking this question, the nurse can assess the client's risk level and take appropriate actions to ensure their safety.
Choices B, C, and D are incorrect because they do not directly address the immediate safety concern of suicidal ideation. The focus should be on assessing and addressing the client's risk of harm to themselves before exploring other aspects of their feelings or experiences.
Question 3 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct medications for treating bipolar disorder are Lithium, Carbamazepine, and Valproate. Lithium is a mood stabilizer commonly used to manage manic episodes. Carbamazepine and Valproate are also mood stabilizers effective in managing mood swings. Paroxetine is an antidepressant commonly used for depression and anxiety disorders, not specifically for bipolar disorder. Donepezil is used for Alzheimer's disease, not bipolar disorder. In summary, A, B, and C are the correct answers because they are all mood stabilizers commonly prescribed for bipolar disorder, while D and E are not indicated for this condition.
Question 4 of 5
A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?
Correct Answer: B
Rationale: The correct answer is B: A client who has been taking amitriptyline for 3 months for depression. Group therapy is helpful for individuals with similar experiences, such as depression. This client is stable on medication, making them suitable for group therapy.
Choice A should be avoided as psychotic behavior may disrupt the group.
Choice C is inappropriate due to the client's intoxication.
Choice D is not ideal as the client is in an acute state.
Question 5 of 5
A nurse is providing discharge teaching to a client who is taking risperidone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Avoid becoming overheated while taking this medication. Risperidone can impair the body's ability to regulate temperature, leading to overheating. This can result in heat exhaustion or heat stroke.
Therefore, advising the client to avoid becoming overheated is crucial to prevent potential serious complications.
Explanation for other choices:
A: Incorrect. Risperidone is not known to directly increase blood pressure.
B: Incorrect. Flu-like symptoms are not a common adverse effect of risperidone.
D: Incorrect. Muscle twitches are not a common side effect of risperidone.