ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to participate in physical activities. Physical activities can help to channel the excess energy and agitation associated with manic episodes in bipolar disorder. Exercise can help reduce stress, improve mood, and promote better sleep patterns. Group therapy (
A) may not be appropriate during a manic episode as the client may have difficulty focusing and could disrupt the session. Rotating staff members (
B) could lead to inconsistency in care and may worsen the client's symptoms. Distracting the client with increased environmental stimuli (
D) could exacerbate agitation and overstimulation. It is important to provide a structured and safe outlet for the client's energy, hence physical activities are the most appropriate intervention in this scenario.
Question 2 of 5
A nurse in a mental facility is assessing a client for suicide risk factors using the SAD PERSONS scale. Which of the following findings indicates a risk for suicide?
Correct Answer: C
Rationale: The correct answer is C: The client is 50 years of age. The SAD PERSONS scale includes age as a risk factor for suicide. As individuals get older, they may face more challenges such as chronic health conditions, loss of loved ones, or financial difficulties, which can increase suicidal ideation. This age group is considered at higher risk for suicide compared to younger individuals.
Choices A, B, and D do not directly relate to suicide risk factors according to the scale. Being married (
A) can sometimes be a protective factor, being female (
B) is not a specific risk factor, and having diabetes mellitus (
D) is a medical condition that is not directly associated with suicide risk based on the scale.
Question 3 of 5
A nurse is providing teaching to the caregiver of a client who has schizophrenia. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should reinforce reality when my loved one is experiencing delusions." This statement indicates an understanding of the teaching because it aligns with the therapeutic approach of reality orientation, which helps the client differentiate between reality and delusions. By reinforcing reality, the caregiver can help the client manage their symptoms effectively.
Choices B, C, and D are incorrect because they promote behaviors that are not beneficial for a client with schizophrenia. Discouraging the expression of feelings (
B) can lead to emotional suppression. Avoiding discussion about hallucinations (
C) may prevent the caregiver from understanding the client's experiences. Encouraging isolation (
D) can worsen symptoms and hinder social interaction, which is important for recovery.
Question 4 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, individuals often experience restlessness due to persistent worry and fear. This can manifest as physical agitation and an inability to relax. Increased energy (
A) is not typically associated with generalized anxiety disorder, as individuals may feel fatigued due to constant worrying. Euphoric mood (
C) is more characteristic of conditions like bipolar disorder, not generalized anxiety disorder. Depersonalization (
D) involves feeling detached from oneself and is more commonly associated with conditions like dissociative disorders, not generalized anxiety disorder.
Question 5 of 5
A nurse is planning care for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Monitor for seizures. During alcohol withdrawal, clients are at risk for seizures due to central nervous system hyperexcitability. Monitoring for seizures allows for prompt intervention if they occur. Administering disulfiram (
A) is used to deter alcohol consumption, not for withdrawal. Restricting fluid intake (
C) can worsen dehydration, while providing a high-protein diet (
D) is not a priority during alcohol withdrawal.