ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is assessing a client who reports using cocaine 1 hr ago. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Fever. Cocaine is a stimulant that can lead to increased body temperature (hyperthermia) due to its effects on the central nervous system. The sympathetic stimulation caused by cocaine use can result in elevated heart rate, vasoconstriction, and increased body temperature. Polyphagia (excessive hunger) is not a typical finding after cocaine use. Bradycardia (slow heart rate) is not expected as cocaine is known to increase heart rate. Oliguria (decreased urine output) is not a common immediate effect of cocaine use.
Question 2 of 5
A nurse is caring for a client who has dementia and insists a doll is her infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
Correct Answer: C
Rationale: The correct answer is C: Validation therapy. This technique involves acknowledging and accepting the client's feelings and reality as valid, even if it differs from actual reality. For a client with dementia who believes a doll is her infant child, using validation therapy can help build trust and reduce agitation. Cognitive reframing (
A) involves changing negative thoughts into positive ones, which may not be effective in this situation. Thought stopping (
B) aims to interrupt and replace negative thoughts, not applicable here. Operant conditioning (
D) involves shaping behavior through reinforcement or punishment, not suitable for addressing the client's belief.
Question 3 of 5
A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?
Correct Answer: C
Rationale: The correct answer is C: Respecting the decision of clients to refuse to participate in group therapy. Fidelity refers to the ethical principle of being faithful, loyal, and honoring commitments to clients. In this scenario, respecting the client's autonomy and right to make decisions about their own treatment aligns with fidelity. This demonstrates the nurse's commitment to supporting the client's self-determination and choices in their care.
Other choices are incorrect:
A: Spending equal time with clients regardless of insurance status relates more to equality and justice.
B: Explaining possible adverse effects demonstrates beneficence by providing information for the client's well-being.
D: Attending an educational conference on suicide risk is related to competence and ongoing professional development.
Question 4 of 5
A nurse is caring for a client who has depression and is taking imipramine 300 mg PO divided equally every 8 hr. Available is imipramine 50 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: The correct answer is 2 tablets per dose.
To calculate this, divide the total daily dose (300 mg) by the strength of each tablet (50 mg). 300 mg ÷ 50 mg = 6 tablets/day. Since the dose is divided equally every 8 hours, the nurse should administer 2 tablets per dose. This ensures the client receives the correct amount of medication throughout the day. Other choices are incorrect because they do not result from the correct calculation. For example, giving only 1 tablet per dose would be insufficient, while giving 3 tablets per dose would exceed the prescribed amount.
Question 5 of 5
A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. Risperidone is commonly prescribed to manage behavioral symptoms such as aggression in individuals with autism spectrum disorder. This indicates an understanding of the teaching as it aligns with the therapeutic purpose of the medication.
Choice B is incorrect as risperidone does not typically cause low blood sugar.
Choice C is incorrect because routine lab tests are usually necessary to monitor for potential side effects of the medication.
Choice D is incorrect as muscle spasms are not typically an indication for increasing risperidone dosage.