ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, 'I should have died because I am totally worthless.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Normalizing feelings reduces isolation empathetically. Probing why (
A), assuming meaninglessness (
B), or asserting value (
D) are less effective.
Question 2 of 5
A nurse is caring for a client with paranoid personality disorder who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: C
Rationale: A neutral attitude minimizes suspicion and builds trust. Disclosure (
A), frequent approaches (
B), or waiting for initiation (
D) may increase mistrust.
Question 3 of 5
The client presents to the emergency department with a headache in the back of the head, diaphoresis, and neck stiffness. The client's blood pressure measures 180/124 mm Hg and heart rate is 168 beats/min. The spouse says the client is currently prescribed 'something for depression' and denies any history of cardiac disease. The nurse should suspect the use of what medication?
Correct Answer: A
Rationale: MAOIs can interact with foods or medications, causing hypertensive crisis with severe hypertension, headache, and diaphoresis. SSRIs (
B) may cause serotonin syndrome but not typically severe hypertension. TCAs (
C) cause anticholinergic effects, not hypertensive crisis. Atypical antipsychotics (
D) cause cardiovascular effects like tachycardia, not severe hypertension.
Question 4 of 5
A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Low self-esteem (
B), insomnia (
C), and irritability (
D) are depression symptoms. Headaches (
A) are not specific, and euphoria (E) relates to mania.
Question 5 of 5
A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Haloperidol causes orthostatic hypotension, leading to dizziness. It’s not for OCD (
A), doesn’t cause salivation (
B), and stopping abruptly (
D) risks worsening symptoms.