ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.
Question 2 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because It's too noisy.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep conversations and activities to a minimum during the nighttime. The rationale behind this is that minimizing noise and activities during nighttime promotes a restful environment conducive to sleep. This approach respects the client's need for a quiet environment while also addressing their sleep concern.
Choice A is incorrect because sleeping during the day may disrupt the client's circadian rhythm and is not a sustainable solution.
Choice C is incorrect as turning on the television may not necessarily address the underlying issue of noise disturbance and may even disrupt sleep further.
Choice D is incorrect as it dismisses the client's valid concern and does not offer a practical solution to address the noise concern.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: C
Rationale: The correct answer is C: Reports a lack of sleep. In acute mania, individuals often experience decreased need for sleep or insomnia. This symptom is a hallmark of manic episodes in bipolar disorder. Lack of sleep can exacerbate manic symptoms and lead to increased impulsivity and risk-taking behaviors. Writing a detailed daily activity schedule (
A) is more indicative of organized behavior, not necessarily mania. Isolating oneself from others (
B) can be a sign of depression or social withdrawal, not mania. Refusing to engage in conversation (
D) may indicate other issues such as anxiety or communication difficulties.
Question 4 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?
Correct Answer: B
Rationale: The correct answer is B: The client's best friend moved away. This factor may interfere with the client's recovery from coronary artery bypass surgery because social support plays a crucial role in reducing stress and promoting healing. Losing a close friend can lead to feelings of loneliness and isolation, which can negatively impact the client's emotional well-being and recovery process.
A: The client walks their dog daily - Regular physical activity is beneficial for recovery and stress management.
C: The client exercises in the morning - Regular exercise is important for recovery and stress relief.
D: The client has stopped drinking coffee - This alone is unlikely to significantly interfere with recovery.
In summary, choice B is correct as it directly affects the client's emotional state, while the other choices are less likely to interfere with recovery from coronary artery bypass surgery.
Question 5 of 5
A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B, "You sound upset about today's session," is the most appropriate response because it acknowledges the client's feelings without dismissing or minimizing them. By reflecting the client's emotions, the nurse demonstrates empathy and validates the client's experience. This response opens up a space for the client to express their feelings further and facilitates a therapeutic dialogue.
Incorrect
Choices:
A: Asking "Why do you think that he said that to you?" places the focus on the client's interpretation rather than validating their emotions.
C: "I think you should ignore the comment" dismisses the client's feelings and does not address the impact of the inappropriate comment.
D: "I agree that the comment was inappropriate" does not address the client's emotional state and may come off as insincere.