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 was prescribed fluoxetine 2 weeks ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: SSRIs like fluoxetine take 4-6 weeks for full effect. Changing medication (
B) is premature, MAOIs (
C) have risks, and a sleep study (
D) is not the priority.
Question 2 of 5
A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Finger foods (
A) support nutrition during high activity. Weighing (
B) monitors health. Low stimuli (
D) reduce agitation. Discouraging naps (E) regulates sleep. Safety monitoring (
C) is critical but not specified as correct.
Question 3 of 5
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Correct Answer: A
Rationale: Sudden mood improvement may indicate suicide risk, so monitoring whereabouts ensures safety. Rewarding behavior (
B), asking why (
C), or family outings (
D) do not prioritize safety.
Question 4 of 5
A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Assisting with participation encourages engagement gently. Rules (
A), waiting (
B), or prolonged rest (
C) may worsen isolation.
Question 5 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.