ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct Answer: A: Inability to carry out a simple task
Rationale: During a depressive episode in bipolar disorder, individuals often experience cognitive impairments, including difficulty concentrating and completing tasks. This is due to the negative impact of depression on cognitive functioning. Clients may struggle with even simple tasks, leading to feelings of frustration and helplessness.
Incorrect
Choices:
B: Client reports auditory hallucinations - Auditory hallucinations are more commonly associated with schizophrenia or manic episodes in bipolar disorder.
C: Moves quickly from one idea to the next - Rapid cycling between ideas is more indicative of a manic episode in bipolar disorder.
D: Client expresses illusions of grandeur - Grandiosity is a common symptom of manic episodes, not depressive episodes in bipolar disorder.
Summary: The correct answer is A because cognitive impairments, such as the inability to carry out simple tasks, are characteristic of depressive episodes in bipolar disorder.
Choices B, C, and D are incorrect as they are more indicative of other phases of the disorder
Question 2 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 the unintentional fabrication of details or events to fill in memory gaps, often seen in clients with dementia. In this scenario, the client is creating false memories of taking care of other residents, which is characteristic of confabulation.
A: Projection involves attributing one's thoughts or feelings to others, not relevant here.
B: Perseveration is the repetition of a particular response, also not applicable.
C: Agnosia is the inability to recognize familiar objects or people, not demonstrated in this case.
In summary, the client's statement aligns with confabulation as it involves unintentional fabrication of memories, making it the correct choice among the options provided.
Question 3 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 4 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 in managing withdrawal symptoms by preventing cravings and reducing the severity of symptoms. It is commonly used in opioid substitution therapy. Disulfiram (
B) is used for alcohol dependence, Naloxone (
C) is an opioid antagonist used for overdose reversal, and Bupropion (
D) is an antidepressant. These medications are not indicated for preventing opioid withdrawal symptoms.
Question 5 of 5
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Document the client's behavior every 15 min. This is crucial to monitor the client's response to seclusion and restraints for any changes or adverse effects. Documenting every 15 minutes allows for timely identification of any issues and prompt intervention if needed.
A: Ensuring restraints prescription renewal every 6 hours is important, but monitoring the client's behavior is more immediate and crucial.
C: Requesting a provider to evaluate the client every 36 hours is too long of an interval for monitoring a client in seclusion and restraints.
D: Monitoring the client every 30 minutes is not as frequent as every 15 minutes, which may delay the identification of any issues.