ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 4
A nurse is assessing a client who has opioid withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. Opioid withdrawal often presents with symptoms like insomnia due to increased sympathetic activity. Hypotension (
A) is less likely as opioids can cause hypertension. Hyperthermia (
B) is not typically associated with opioid withdrawal. Bradycardia (
D) is also less common, as opioid withdrawal can lead to tachycardia. Insomnia is a hallmark symptom of opioid withdrawal, making it the most appropriate choice.
Question 2 of 4
A nurse is providing teaching to a client who has obsessive-compulsive disorder and engages in excessive handwashing. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Allow additional time for rituals. This is because abruptly stopping the handwashing rituals can lead to increased anxiety and distress for the client. Allowing additional time for rituals can help the client feel more in control and gradually work towards reducing the behavior. Encouraging the client to stop washing hands (
A) abruptly can be counterproductive. Limiting ritual behaviors immediately (
C) can also increase anxiety. Ignoring the compulsions (
D) may worsen the condition.
Question 3 of 4
A nurse in a psychiatric facility is planning care for a client who has depression and is at risk for suicide. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Assign the same staff to the client each shift. Consistency in staff helps build trust and rapport, crucial for clients with depression and suicide risk. This continuity allows staff to better monitor the client's behavior, mood changes, and suicide risk factors. The familiarity also helps in identifying early warning signs and implementing appropriate interventions promptly.
Choice B is incorrect because while keeping the room well-lit may help prevent self-harm, it does not address the underlying need for consistent support and monitoring.
Choice C is incorrect as constant privacy may hinder the nurse's ability to assess the client's safety and intervene effectively.
Choice D is incorrect as providing access to sharp objects increases the client's risk of self-harm.
Question 4 of 4
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, clients often experience restlessness due to excessive worry and fear. This can manifest as fidgeting, inability to relax, and feeling on edge. Restlessness is a common symptom seen in individuals with this disorder. Increased energy (choice
A) is less likely as anxiety tends to deplete energy. Depersonalization (choice
C) is more commonly associated with dissociative disorders, not generalized anxiety disorder. Euphoric mood (choice
D) is not typically seen in clients with generalized anxiety disorder, as they are more likely to feel tense and worried.
Question 5 of 4
A nurse is reviewing laboratory findings for a client who has been taking lithium for 6 months. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 1.5 mg/dL. This finding should be reported because an elevated creatinine level indicates impaired kidney function, which can lead to lithium toxicity. Lithium is primarily excreted by the kidneys, and impaired renal function can result in lithium accumulation in the body, increasing the risk of adverse effects. Reporting this finding promptly will allow the provider to adjust the dosage of lithium to prevent toxicity.
Choices A, B, and D are within normal ranges and do not directly indicate lithium toxicity. A lithium level of 0.8 mEq/L is within the therapeutic range (0.6-1.2 mEq/L). Sodium level of 130 mEq/L is also within normal limits. WBC count of 8,000/mm³ is normal and not directly related to lithium toxicity.
Therefore, these findings do not require immediate reporting compared to the elevated creatinine level.