ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?
Correct Answer: D
Rationale: Tardive dyskinesia, marked by involuntary facial and tongue movements, is a known long-term effect of chlorpromazine. Dystonia causes acute contractions, parkinsonism mimics Parkinson’s symptoms, and akathisia causes restlessness, none fitting the description.
Question 2 of 5
Which client would a nurse determine to be the most likely candidate for involuntary commitment?
Correct Answer: D
Rationale: The elderly client’s disruptive, confused behavior suggests potential danger, meeting involuntary commitment criteria. Refusing therapy, medication, or being homeless don’t alone justify commitment.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for the past few weeks. During group therapy, the nurse notes that the client is getting up and pacing around the room. The client is cooperative. Upon further evaluation, the client says, 'I just need to move around, but I feel fine.' Which of the following is the client experiencing?
Correct Answer: B
Rationale: Akathisia, a side effect of first-generation antipsychotics, causes restlessness and pacing, matching the client’s behavior. NMS involves fever and rigidity, tardive dyskinesia causes involuntary movements, and thermoregulation issues don’t cause pacing.
Question 4 of 5
A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply)
Correct Answer: A,C,D
Rationale: EEG monitors brain activity, cardiac monitors track heart function, and blood pressure monitors detect cardiovascular changes, all critical for ECT safety. Ophthalmoscopes examine eyes, and X-ray machines image bones, irrelevant to ECT.
Question 5 of 5
A client receives a court order for commitment. Which concept exemplifies a 'least restrictive environment'?
Correct Answer: C
Rationale: Outpatient commitment allows treatment with greater independence, embodying the least restrictive environment. Inpatient units, padded rooms, and sedation are more restrictive.