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: The correct answer is A: Inability to carry out a simple task. During a depressive episode in bipolar disorder, individuals often experience symptoms such as difficulty concentrating, making decisions, and carrying out tasks due to low energy levels and lack of motivation. This is known as psychomotor retardation, which is common in depressive episodes of bipolar disorder.
Choice B is incorrect as auditory hallucinations are more commonly associated with psychotic features in bipolar disorder, such as during manic episodes.
Choice C, moving quickly from one idea to the next, is a symptom more characteristic of a manic episode where there is racing thoughts and increased energy levels.
Choice D, expressing illusions of grandeur, is also more indicative of a manic episode where individuals may have inflated self-esteem and grandiose beliefs.
Question 2 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:
Rationale:
Choice B is correct because increased thoughts of suicide can occur at the beginning of fluoxetine treatment, especially in younger adults. This is due to the medication's effect on energy levels before mood improvement. The other choices are incorrect because: A - Improvement in mood may take several weeks, not days; C - Tyramine restriction is for MAOIs, not SSRIs like fluoxetine; D - Lithium levels monitoring is not necessary for fluoxetine.
Question 3 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: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.
Question 4 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 5 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease to prevent them from wandering and getting lost. Placing locks at the tops of exterior doors can help ensure the client's safety by restricting their ability to leave the house unsupervised. This intervention is crucial in managing the risks associated with the client's cognitive impairment.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering in a client with Alzheimer's disease.
B: Encouraging physical activity prior to bedtime may not be directly related to the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not significantly impact the client's safety in terms of wandering.
Overall, placing locks at the tops of exterior doors is the most appropriate action to address the safety needs of a client with Alzheimer's disease.