ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has borderline personality disorder (BPD). What should the nurse monitor in the client’s Medication Administration Record?

A. Medication compliance. B. Adverse reactions. C. Medication interactions. D. Dosage adjustments.

Correct Answer: A

Rationale: Compliance (
A) is critical in BPD due to impulsivity affecting adherence. Reactions (
B), interactions (
C), and adjustments (
D) are secondary.

Question 2 of 5

The nurse has reviewed the client’s electronic health record. Which of the following client findings require immediate follow-up by the nurse? (Select all that apply.)

A. Sexual behaviors B. Frequency of hospitalizations C. Sodium level D. Hepatitis Viral Study (HAA) results

Correct Answer: C,D

Rationale: Sodium (
C) risks hyponatremia with naltrexone, and hepatitis (
D) affects fluoxetine safety due to liver risk. Sexual behaviors (
A) and hospitalizations (
B) are less urgent.

Question 3 of 5

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

A. Have consistent unit routines. B. Provide a stimulating environment. C. Schedule daily seclusion times. D. Discourage daytime napping.

Correct Answer: A

Rationale: Consistent routines provide stability and predictability, reducing mania exacerbation. Stimulation (
B) worsens symptoms, seclusion (
C) isolates unnecessarily, and discouraging naps (
D) risks fatigue.

Question 4 of 5

A nurse facilitating a group therapy session is listening to clients discuss their coping strategies when feeling stressed. Which of the following statements indicate adaptive coping? (Select all that apply.)

A. I tense and release my muscles, starting with my feet.' B. I sleep in in the mornings.' C. I think about being on my favorite beach vacation.' D. I isolate myself in my room for a few hours when things get overwhelming.' E. Social support

Correct Answer: A,E

Rationale: Progressive muscle relaxation (
A) and social support (E) reduce stress effectively. Oversleeping (
B) disrupts rhythms, distraction (
C) avoids root causes, and isolation (
D) increases loneliness.

Question 5 of 5

A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching?

A. I will contact my provider if I have difficulty urinating.' B. I might notice an increased frequency of my menstrual cycle.' C. These medications might cause breast tissue to atrophy.' D. I am at a decreased risk for infection while taking these medications.'

Correct Answer: A

Rationale: Chlorpromazine’s anticholinergic effects can cause urinary retention, requiring prompt reporting (
A). Menstrual changes (
B), breast atrophy (
C), and reduced infection risk (
D) are not typical effects.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

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ATI LPN

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