ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Blurred vision and ataxia are signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider immediately for further evaluation. Continuing the dose administering propranolol or levothyroxine does not address the toxicity risk.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client is doing calisthenics in the client dining room during lunchtime instead of eating. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Offering the client a milkshake while directing them to a different activity provides a way to meet the client's nutritional needs and addresses their manic energy by giving them a focus other than exercise. This approach maintains structure without creating confrontation.
Question 3 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: D
Rationale: Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care. Isolation strict limits or confrontation can increase anxiety and worsen compulsive behaviors.
Question 4 of 5
Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?
Correct Answer: B
Rationale: Agoraphobia is characterized by a fear of situations where escape might be difficult or help unavailable leading to avoidance behavior such as being unable to leave home. It often co-occurs with panic disorder. Other disorders do not specifically involve this avoidance behavior.
Question 5 of 5
The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)
Correct Answer: B,C
Rationale: The absence of a gag reflex increases the risk of aspiration and a respiratory rate of 6 breaths per minute indicates respiratory depression both warranting delay in transfer. Cough normal urine output heart rate and capillary refill do not indicate complications requiring delay.