ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and tension. The individual may find it difficult to relax or sit still. Increased energy (choice
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued. Euphoric mood (choice
C) is not likely, as anxiety tends to cause distress. Depersonalization (choice
D) is more commonly associated with dissociative disorders, not generalized anxiety disorder.
Question 2 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine used to manage alcohol withdrawal symptoms by acting as a sedative and reducing anxiety and agitation. It helps prevent seizures and delirium tremens. Methadone (
A) is used to treat opioid addiction, not alcohol withdrawal. Naltrexone (
C) is used to prevent relapse in alcohol dependence. Disulfiram (
D) is used as a deterrent to drinking alcohol by causing unpleasant reactions.
Question 3 of 5
A nurse is providing teaching to a client who has panic disorder and is receiving alprazolam. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Avoid activities that require alertness. This instruction is crucial because alprazolam is a benzodiazepine that can cause drowsiness and impair coordination. By avoiding activities requiring alertness, the client can minimize the risk of accidents. Taking the medication on an empty stomach (
A) is unnecessary as alprazolam can be taken with or without food. Stopping the medication if dizziness occurs (
C) is dangerous and should not be done abruptly without consulting a healthcare provider. Taking an additional dose if anxiety increases (
D) can lead to overdose and is not recommended.
Question 4 of 5
A nurse is caring for a client with Alzheimer’s disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Use symbols to assist the client in locating rooms. Individuals with Alzheimer's disease often experience confusion and disorientation. Using symbols, such as pictures or color-coded signs, can help the client navigate and locate rooms easily. This promotes independence and reduces the client's anxiety.
Choice A is incorrect because seating the client at a dining table with six or more residents may overwhelm them and increase confusion.
Choice B is incorrect as providing several meal choices can be overwhelming for individuals with Alzheimer's.
Choice C is incorrect because giving complete directions before starting client care may not be effective due to the client's memory impairment.
Question 5 of 5
A nurse in a psychiatric unit is providing discharge instructions to a client who has schizophrenia and a new prescription for clozapine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expect to have an increased risk of infection. Clozapine is an atypical antipsychotic medication known to suppress the immune system, leading to an increased risk of infections such as pneumonia. This instruction is crucial for the client's safety to monitor for signs of infection and seek medical attention promptly.
Choice A is incorrect as getting up quickly can lead to orthostatic hypotension, a common side effect of clozapine.
Choice C is irrelevant to clozapine use.
Choice D is incorrect as adequate fluid intake is essential to prevent constipation, a common side effect of clozapine.