ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine used to manage alcohol withdrawal symptoms by acting as a sedative and reducing anxiety and agitation. It helps prevent seizures and delirium tremens. Methadone (
A) is used to treat opioid addiction, not alcohol withdrawal. Naltrexone (
C) is used to prevent relapse in alcohol dependence. Disulfiram (
D) is used as a deterrent to drinking alcohol by causing unpleasant reactions.
Question 2 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Implement consequences until the client takes the medication. In this scenario, the client's refusal to take prescribed medication could be detrimental to their health and well-being. By implementing consequences, the nurse is establishing boundaries and reinforcing the importance of following the treatment plan. This approach helps ensure the client's safety and promotes therapeutic compliance.
A: Informing the client that he does not have the right to refuse medication is not a therapeutic approach and could lead to a power struggle.
B: Administering the medication via IM injection without the client's consent violates their autonomy and could damage the nurse-client relationship.
C: Offering the medication at the next scheduled dose time may not address the client's refusal and could prolong the issue.
D: Implementing consequences is the most appropriate action to address the client's refusal and emphasize the importance of medication compliance.
Question 3 of 5
A nurse is reviewing the medical records for clients. Which of the following findings should the nurse identify as a risk factor for violent behavior?
Correct Answer: B
Rationale: The correct answer is B: Alcohol intoxication. Alcohol intoxication can impair judgment, lower inhibitions, and lead to aggressive behavior, increasing the risk for violence. It is a well-known risk factor for violent behavior due to its effects on the brain and behavior. Schizoid personality disorder (
A) is characterized by social detachment, not necessarily violence. Dysthymic disorder (
C) is a chronic low mood condition, not directly linked to violent behavior. Long-term isolation (
D) may contribute to mental health issues but does not directly indicate a risk for violent behavior in the same way as alcohol intoxication.
Question 4 of 5
A nurse in a psychiatric unit is planning care for a client who has paranoid personality disorder. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Avoid challenging the client's paranoid beliefs. This is important in working with clients with paranoid personality disorder to build trust and rapport. Challenging their beliefs can increase their defensiveness and exacerbate their paranoia. Encouraging group therapy (
A) may trigger feelings of being targeted or watched. Maintaining eye contact (
C) could be interpreted as threatening. Using humor (
D) may not be appropriate as it can be misinterpreted.
Question 5 of 5
A nurse is providing teaching to a client who has depression and a new prescription for amitriptyline. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take this medication at bedtime. Amitriptyline is a tricyclic antidepressant known for causing drowsiness as a side effect. Instructing the client to take it at bedtime can help minimize the sedative effects and improve adherence.
Choice B is incorrect because antidepressants like amitriptyline can take several weeks to show significant improvement in symptoms, not within 24 hours.
Choice C is incorrect as tyramine restriction is typically associated with MAOIs, not tricyclic antidepressants like amitriptyline.
Choice D is incorrect because abruptly stopping amitriptyline can lead to withdrawal symptoms and potential relapse of depression symptoms.