ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client in the emergency department who states she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?
Correct Answer: A
Rationale:
Correct Answer: A. Conduct a pregnancy test.
Rationale: In cases of sexual assault, it is crucial to assess for any risk of pregnancy. This action is time-sensitive, as early detection allows for prompt intervention. Pregnancy testing also enables the nurse to provide appropriate support and options to the client.
Summary of Other
Choices:
B: Requesting a mental health consultation may be important, but immediate physical needs, such as pregnancy risk, should be addressed first.
C: Providing a trained advocate is beneficial, but assessing for pregnancy is a more urgent priority.
D: Offering prophylactic medication for STIs is important, but assessing for pregnancy takes precedence due to its time-sensitive nature.
Question 2 of 5
A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Self-mutilation. Individuals with borderline personality disorder often engage in self-harming behaviors as a way to cope with intense emotional distress. This behavior is a common symptom of the disorder and requires close monitoring and intervention by healthcare providers.
Choice B, pacing back and forth, is more commonly associated with anxiety disorders rather than borderline personality disorder.
Choice C, preoccupation with details, is more indicative of obsessive-compulsive disorder.
Choice D, disorganized speech, is a symptom often seen in schizophrenia rather than borderline personality disorder.
Therefore, the most likely expectation for a client with borderline personality disorder is self-mutilation due to the nature of the disorder and its associated symptoms.
Question 3 of 5
A nurse is caring for a client in the emergency department who states she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?
Correct Answer: A
Rationale:
Correct Answer: A. Conduct a pregnancy test.
Rationale: In cases of sexual assault, it is crucial to assess for any risk of pregnancy. This action is time-sensitive, as early detection allows for prompt intervention. Pregnancy testing also enables the nurse to provide appropriate support and options to the client.
Summary of Other
Choices:
B: Requesting a mental health consultation may be important, but immediate physical needs, such as pregnancy risk, should be addressed first.
C: Providing a trained advocate is beneficial, but assessing for pregnancy is a more urgent priority.
D: Offering prophylactic medication for STIs is important, but assessing for pregnancy takes precedence due to its time-sensitive nature.
Question 4 of 5
A nurse is assessing a client who requires bupropion for smoking cessation. Which of the following findings in the client’s history should the nurse recognize as a contraindication for taking this medication?
Correct Answer: A
Rationale: The correct answer is A: Seizures. Bupropion is contraindicated in clients with a history of seizures due to its potential to lower the seizure threshold. Seizures can be exacerbated by bupropion, increasing the risk of adverse effects. Anemia (
B), migraines (
C), and asthma (
D) are not contraindications for bupropion use. Anemia and migraines are not directly affected by bupropion, while asthma may even benefit from smoking cessation.
Question 5 of 5
A nurse is developing a plan of care for a client who has post-traumatic stress disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to use relaxation techniques. This intervention is important for managing symptoms of post-traumatic stress disorder (PTS
D) such as anxiety and hyperarousal. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and guided imagery, can help the client cope with stress and regulate their emotions. Encouraging the client to use these techniques promotes self-soothing and enhances the client's ability to manage distressing symptoms.
Choices A, B, and D are incorrect because they can be harmful and counterproductive in treating PTSD. Encouraging the client to suppress traumatic memories or discouraging discussion of the trauma can worsen symptoms and prevent healing. Limiting the client's participation in activities can also hinder their recovery and lead to social isolation. It is essential to focus on evidence-based interventions like relaxation techniques to support the client's mental health and well-being.