Questions 38

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ATI Mental Health Assessment Exam Questions

Extract:


Question 1 of 5

A nurse is assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Cocaine, a stimulant, can cause hyperthermia or fever due to increased metabolic activity. It suppresses appetite (not polyphagia), causes tachycardia (not bradycardia), and does not typically cause oliguria.

Question 2 of 5

A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?

Correct Answer: C

Rationale: A structured schedule helps reduce anxiety and manage OCD symptoms by providing predictability. Detailed explanations may overwhelm, stimulating environments increase anxiety, and strict ritual limits may initially heighten distress.

Question 3 of 5

A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Correct Answer: B

Rationale: The nurse has a legal and ethical duty to warn individuals at risk of harm, ensuring the ex-partner is notified to protect them. Hospitalization, monitoring by family, or transfer may be considered but are not the primary legal duty.

Question 4 of 5

A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?

Correct Answer: B

Rationale: Fluoxetine, an SSRI, is a first-line treatment for major depressive disorder due to its efficacy and favorable side effect profile. Midazolam is for sedation, cyclobenzaprine is a muscle relaxant, and valproic acid is for bipolar or seizures.

Question 5 of 5

A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, 'Walk tall broom short dog bell.' The nurse should document the client's speech as which of the following speech patterns?

Correct Answer: B

Rationale: Word salad refers to a jumble of words and phrases that are incoherent and lack meaningful connections. The client's statement, 'Walk tall broom short dog bell,' is a nonsensical combination of words, fitting this description. Flight of ideas involves rapid topic shifts, neologisms are invented words, and clang associations involve sound-based word choices, none of which apply here.

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