ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale:
Correct Answer: 10 mL
Rationale:
To calculate the mL per dose, divide the total daily dose by the concentration of the medication.
40 mg per day รท 10 mg/5 mL = 8 mL per dose
Round to the nearest whole number, the nurse should administer 10 mL per dose.
Summary of other choices:
A. Incorrect. No value provided.
B. Incorrect. No calculation shown.
C. Incorrect. No relevant information given.
D. Incorrect. No explanation provided.
E. Incorrect. No relevant answer.
F. Incorrect. No reasoning provided.
G. Incorrect. No calculation or reasoning shown.
Question 2 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is a form of aversion therapy, which helps the client interrupt the obsessive thought pattern by associating it with a negative physical sensation. By snapping the rubber band on the wrist, the client creates a negative consequence for the behavior, making it less desirable to continue the checking behavior. This helps in breaking the cycle of obsessive thoughts and compulsive behaviors associated with obsessive-compulsive disorder.
A: Asking a family member to check the locks enables avoidance rather than addressing the underlying issue.
B: Keeping a journal may help increase awareness but does not actively interrupt the thought pattern.
C: Focusing on abdominal breathing is a relaxation technique that may help manage anxiety but does not directly address the obsessive behavior.
E, F, G: These options are not provided in the question and are therefore irrelevant.
Question 3 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: B
Rationale: The correct answer is B because informing the social worker that the client will be unable to return home after discharge is crucial for coordinating appropriate post-discharge care and support services. The social worker can help assess the client's living situation, connect them with community resources, and facilitate a safe and suitable discharge plan. This information is pertinent for the social worker to address the client's social needs.
Choices A, C, and D are incorrect because while they are important aspects of the client's care, they are more relevant to the nurse's role in addressing the client's immediate physical and emotional needs rather than the social worker's role in coordinating post-discharge care and support services.
Question 4 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: A
Rationale:
Rationale: The nurse should ask "A: How has this impacted your life?" to assess the client's coping abilities. This question allows the client to express their feelings and challenges, providing insight into their emotional adjustment.
Choice B is too direct and may not encourage open communication.
Choice C focuses on practical assistance, not coping mechanisms.
Choice D delves into causation, not coping strategies.
Question 5 of 5
A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B, C, D
Rationale: The correct findings for a client with post-traumatic stress disorder (PTS
D) include difficulty concentrating (
B), difficulty sleeping (
C), and persistent negative beliefs about self (
D). Difficulty concentrating is common due to hypervigilance and intrusive thoughts. Sleep disturbances are typical in PTSD, as individuals may experience nightmares or insomnia. Persistent negative beliefs about self are a core symptom, often manifesting as feelings of guilt or worthlessness. Blaming others (
A) is not a typical symptom of PTSD. Excessive talking (E) may occur in some cases but is not a primary characteristic.