ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: D
Rationale: The correct assessment the nurse should perform is D: Blood pressure. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. Eating foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis due to the interaction between tyramine and MAOIs. Monitoring blood pressure is crucial to detect any potential hypertensive crisis. Pupil response (
A), bowel sounds (
B), and oxygen saturation (
C) are not directly related to the risk associated with tyramine intake in clients taking MAOIs. Blood pressure (
D) is the most relevant assessment in this situation to ensure the client's safety.
Question 2 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Makes inappropriate sexual comments. This behavior is concerning as it could indicate hypersexuality, a common symptom of mania. The nurse should report this to the provider for further assessment and intervention. Speaking in rhyming sentences (
B) is a common feature of mania but not as urgent to report. Not bathing for 2 days (
C) may also be due to mania, but it is not as critical as the inappropriate sexual comments. Reporting eating habits (
A) is important but not as urgent as addressing the sexual comments.
Question 3 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C, Recent head injury. This is important to report because bupropion is contraindicated in patients with a history of seizures or head trauma. The medication can lower the seizure threshold, increasing the risk of seizures in such patients. Reporting this finding is crucial to ensure the safety of the client. Hypothyroidism (choice
A) does not have a direct contraindication with bupropion. Knee arthroplasty (choice
B) and Hepatitis B infection (choice
D) are not contraindications for bupropion use.
Question 4 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "It must be frightening to think that someone is reading your mail." This response shows empathy and acknowledges the client's feelings without directly challenging their belief. It validates the client's emotions and helps build trust in the therapeutic relationship.
Explanation for incorrect choices:
A: This response directly challenges the client's belief, which may lead to the client becoming defensive or feeling invalidated.
B: This response focuses on the physical aspect of the mail being sealed, which does not address the client's emotional distress.
D: This response asks a probing question that may come off as confrontational and may make the client feel judged or interrogated.
Question 5 of 5
A nurse is assessing a client’s communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: The correct answer is A: Generalizing. The client's statement "My partner is always criticizing me" is a generalization because it uses the absolute term "always," which implies a consistent negative behavior. This can lead to misunderstandings and exaggeration of the issue. The other choices are incorrect because: B. Manipulating involves controlling or influencing others, which is not evident in the client's statement. C. Distracting involves diverting attention from the main issue, which is not present here. D. Placating involves trying to please or appease others, which is not demonstrated in the client's statement.