ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: B
Rationale: The compulsive behavior in OCD is often used as a coping mechanism to reduce anxiety. The client is attempting to neutralize or manage obsessive thoughts by performing these repetitive actions. Other options do not reflect the primary motivation.
Question 2 of 5
A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?
Correct Answer: D
Rationale: An elevated creatinine level (2.1 mg/dL) indicates possible renal dysfunction which is a concern for lithium use. Lithium is excreted by the kidneys and impaired renal function increases the risk of lithium toxicity. Normal potassium slightly low sodium and normal calcium do not warrant withholding the medication.
Question 3 of 5
A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A lithium level of 1.0 mEq/L is within the therapeutic range (0.6 to 1.2 mEq/L). The nurse should administer the morning dose of lithium as prescribed. Checking adherence preparing for gastric lavage or holding the medication are unnecessary given the therapeutic level.
Question 4 of 5
A nursing student reports experiencing test-taking anxiety,including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?
Correct Answer: B
Rationale: Lorazepam a benzodiazepine provides rapid relief of acute anxiety symptoms making it appropriate for episodic test-taking anxiety. Propranolol addresses physical symptoms but not psychological ones while sertraline and buspirone are for long-term anxiety management.
Question 5 of 5
A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?
Correct Answer: C
Rationale: A skin rash is a serious adverse effect of lamotrigine as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) which require immediate medical intervention. Other side effects are less urgent.