ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has depression and is taking imipramine 300 mg PO divided equally every 8 hr. Available is imipramine 50 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: The correct answer is 2 tablets per dose.
To calculate this, divide the total daily dose (300 mg) by the strength of each tablet (50 mg). 300 mg รท 50 mg = 6 tablets/day. Since the dose is divided equally every 8 hours, the nurse should administer 2 tablets per dose. This ensures the client receives the correct amount of medication throughout the day. Other choices are incorrect because they do not result from the correct calculation. For example, giving only 1 tablet per dose would be insufficient, while giving 3 tablets per dose would exceed the prescribed amount.
Question 2 of 5
A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
Correct Answer: B
Rationale:
Correct Answer: B. Ensure the client's ex-partner is notified of the threat.
Rationale: The nurse has a legal duty to protect potential victims by notifying the ex-partner to prevent harm. This action upholds the duty to warn principle, safeguarding the well-being of others. Keeping the client hospitalized indefinitely (
A) is not ethically sound and violates the client's rights. Asking a friend or family member to monitor the client (
C) may not ensure the ex-partner's safety. Transfer to a mental health facility (
D) may be necessary but does not directly address the immediate threat.
Question 3 of 5
A charge nurse is providing education to a group of newly-licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses by a newly-licensed nurse indicates understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: These clients can vote in local and federal elections. Involuntary admission does not negate an individual's right to vote. This response indicates understanding of the teaching because it recognizes the importance of upholding clients' rights to participate in the democratic process. The other choices are incorrect because:
A: Inspecting packages does not relate to the rights of involuntarily admitted clients.
B: Participation in a research study is not related to the rights of involuntarily admitted clients.
D: Involuntarily admitted clients have the right to refuse medications unless a court order is obtained.
Question 4 of 5
A nurse is caring for a client who exhibits excessive attention-seeking behaviors,"including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: The correct answer is B: Histrionic. Histrionic personality disorder is characterized by attention-seeking behavior, exaggerated emotions, and seductive or flirtatious actions to gain attention. In this scenario, the client's flirtatious and seductive behaviors align with the criteria for histrionic personality disorder.
A: Paranoid personality disorder is characterized by distrust and suspicion of others, not attention-seeking behaviors.
C: Narcissistic personality disorder is characterized by a grandiose sense of self-importance and a lack of empathy, not necessarily attention-seeking behaviors like seductiveness.
D: Antisocial personality disorder involves a disregard for the rights of others and often includes behaviors such as deceitfulness and impulsivity, but not necessarily attention-seeking behaviors like being flirtatious.
Therefore, the correct choice is B because it aligns with the specific attention-seeking behaviors described in the question.
Question 5 of 5
A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
Correct Answer: A
Rationale: The correct answer is A: The client has a serotonin deficiency. Serotonin is a neurotransmitter linked to mood regulation, and a deficiency can contribute to the development of major depressive disorder. Serotonin imbalance is a well-known risk factor for depression.
Choices B, C, and D are not directly related to major depressive disorder. Acute bronchitis and elevated calcium levels do not have a direct association with depression. Being an only child is also not a recognized risk factor for major depressive disorder.
Therefore, option A is the most relevant and plausible risk factor for major depressive disorder in this scenario.