ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has opioid intoxication. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Pinpoint pupils. Opioid intoxication causes miosis, leading to constricted or pinpoint pupils due to the depression of the central nervous system. This is a classic sign of opioid overdose and helps differentiate it from other conditions. Hyperreflexia (
B) is more commonly seen in stimulant intoxication. Increased respiratory rate (
C) is not typically observed in opioid intoxication as opioids depress the respiratory drive. Dilated pupils (
D) are characteristic of stimulant intoxication, not opioids.
Question 2 of 5
A school nurse is caring for an adolescent client whose teacher reports changes in school performance and withdrawal from interaction with classmates. Which of the following interventions is the nurse’s priority at this time?
Correct Answer: C
Rationale: The correct answer is C: Ask the adolescent if he is considering hurting himself. This is the priority intervention because it addresses the immediate safety and well-being of the adolescent. By directly asking about self-harm or suicide ideation, the nurse can assess the level of risk and intervene appropriately if necessary. Contacting the parents (
A) can be important but not the priority in ensuring the adolescent’s immediate safety. Joining support groups (
B) may be beneficial in the long term but does not address the current risk. Determining when the behavior change began (
D) is relevant but not as urgent as assessing for suicidal ideation.
Question 3 of 5
A nurse is caring for a client in the emergency department who states she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?
Correct Answer: A
Rationale:
Correct Answer: A. Conduct a pregnancy test.
Rationale: In cases of sexual assault, it is crucial to assess for any risk of pregnancy. This action is time-sensitive, as early detection allows for prompt intervention. Pregnancy testing also enables the nurse to provide appropriate support and options to the client.
Summary of Other
Choices:
B: Requesting a mental health consultation may be important, but immediate physical needs, such as pregnancy risk, should be addressed first.
C: Providing a trained advocate is beneficial, but assessing for pregnancy is a more urgent priority.
D: Offering prophylactic medication for STIs is important, but assessing for pregnancy takes precedence due to its time-sensitive nature.
Question 4 of 5
A nurse is teaching a client who has schizophrenia about the adverse effects of clozapine. Which of the following side effects should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. Clozapine is an atypical antipsychotic known to have a lower risk of causing tardive dyskinesia compared to typical antipsychotics. Tardive dyskinesia is a serious movement disorder characterized by involuntary repetitive movements of the face and body. It is crucial for the nurse to educate the client about this potential side effect to monitor and report any early signs. Increased salivation (
A), hypertension (
C), and photosensitivity (
D) are not commonly associated with clozapine use. This makes them incorrect choices in this scenario.
Question 5 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.