ATI LPN
ATI Mental Health PM 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has generalized anxiety disorder and a new prescription for escitalopram. Which of the following should the nurse monitor?
Correct Answer: B
Rationale: Escitalopram may initially worsen anxiety as serotonin levels adjust, a common SSRI effect to monitor.
Question 2 of 5
A client with paranoid schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church. The psychiatric nurse notifies the local minister. The psychiatric nurse has:
Correct Answer: C
Rationale: Notifying the minister fulfills the duty to warn and protect, a legal and ethical obligation to prevent harm when a credible threat is made, superseding confidentiality.
Question 3 of 5
A nurse is caring for a client who has a history of opioid use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Methadone reduces opioid withdrawal symptoms by acting on opioid receptors, unlike naloxone (reversal) or lorazepam (anxiety).
Question 4 of 5
A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: A
Rationale: Anger is a common response to trauma like sexual assault, stemming from feelings of violation, betrayal, or injustice. It can manifest as irritability, aggression, or withdrawal, making it an expected finding in PTSD.
Question 5 of 5
A nurse is assessing a client who is about to undergo a left lobectomy to treat lung cancer. The client expresses fear and regret about her past smoking habit. How should the nurse respond?
Correct Answer: A
Rationale: Acknowledging the client's fear and inviting discussion validates their emotions, promotes coping, and strengthens the nurse-client relationship, addressing their immediate needs.