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 major depressive disorder. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,E
Rationale: The correct answers are A (Anhedonia), B (Insomnia), and E (Feelings of worthlessness) for a client with major depressive disorder. Anhedonia is a key symptom characterized by lack of interest or pleasure in activities. Insomnia is a common symptom due to disrupted sleep patterns. Feelings of worthlessness are indicative of low self-esteem, a common feature in major depressive disorder. Weight gain (
C) is less common than weight loss in depression. Flight of ideas (
D) is more characteristic of manic episodes in bipolar disorder.
Question 2 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. During mania, individuals with bipolar disorder often have increased energy levels, decreased need for sleep, and may engage in risky behaviors. Encouraging rest periods helps to manage the client's energy levels and reduce the risk of exhaustion or impulsivity. Seclusion (
A) may exacerbate anxiety, spending time in the dayroom (
B) may increase stimulation, and withdrawing TV privileges (
C) may not address the core issue. Thus, option D is the most appropriate intervention for managing mania symptoms.
Question 3 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 4 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.
Question 5 of 5
A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Ask the client directly what he is hearing. This action is essential in understanding the nature and content of the auditory hallucinations the client is experiencing. By directly asking the client about their hallucinations, the nurse can gather valuable information to assess the severity and impact on the client's mental health. It also helps establish a therapeutic relationship based on trust and communication.
Choice A is incorrect because encouraging the client to lie down in a quiet room may not address the underlying issue of auditory hallucinations.
Choice B is incorrect as referring to the hallucinations as real may validate and exacerbate the client's distress.
Choice D is incorrect as avoiding eye contact may hinder effective communication and trust-building.