ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it targets the underlying maladaptive schemas and core beliefs that contribute to the disorder. By addressing these deep-seated patterns, individuals can develop healthier ways of thinking and behaving. Assertiveness training (
A) may not be as effective for addressing the core issues of narcissistic personality disorder. Response prevention therapy (
C) is typically used for anxiety disorders, not personality disorders. Cognitive behavioral therapy (
D) can be helpful but may not specifically target the underlying schemas in the same way as schema-focused therapy.
Question 2 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You will need to have your blood drawn." This response is correct because lithium is a medication that requires monitoring of blood levels due to its narrow therapeutic range. Lethargy, muscle weakness, and blurred vision are symptoms of lithium toxicity, which can occur if the blood levels of lithium become too high. By having the client's blood drawn, the nurse can assess the lithium levels and make necessary adjustments to the dosage to prevent further toxicity.
Incorrect Responses:
A: "These symptoms will improve over time." - This is incorrect because the symptoms described are indicative of lithium toxicity, which requires immediate attention.
B: "Continue the medication as prescribed." - This is incorrect because if the client is experiencing symptoms of toxicity, continuing the medication without monitoring could lead to further complications.
C: "You should decrease your intake of sodium." - This is incorrect as it does not address the issue of lithium toxicity. Sodium intake is not directly related to lithium toxicity.
Extract:
Provider Prescriptions
• Olanzapine 10 mg tablet PO daily
• Alprazolam 1 mg tablet PO three times daily PRN anxiety
Nurses’ Notes
Client reports hearing voices that are talking about race cars and race tracks. Client appears diaphoretic and pale. Client reports weight gain of 2.2 kg (4.9 lb) in the past week.
Graphic Record
• BP 128/82 mmHg
• Pulse rate 98/min
• Respiratory rate 20/min
• Temperature 39.4° C (103° F)
• SaO2 95%
Question 3 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: A
Rationale: The correct answer is A: Temperature. The nurse should report temperature findings to the provider as it can indicate potential infection or other medical issues. Elevated temperature can be a sign of infection which could exacerbate the client's schizophrenia symptoms. Blood pressure (
B) and weight gain (
C) may be important but are not as urgent as temperature in this scenario. Hallucinations (
D) are a symptom of schizophrenia and should be addressed by the nurse but are not typically reported to the provider as they are expected in this client population.
Extract:
Question 4 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Failure to recognize familiar objects. In Alzheimer's disease, individuals experience cognitive decline, including memory loss and difficulty recognizing familiar objects or people. This is due to brain changes affecting memory and perception. Excessive motor activity (
A) is not typically a hallmark of Alzheimer's; rather, individuals may have decreased motor skills. Rapid mood swings (
C) are more commonly seen in mood disorders, not specific to Alzheimer's. Altered level of consciousness (
D) is not a primary feature of Alzheimer's; individuals may have periods of confusion but usually remain conscious.
Question 5 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, 'I can’t stand to be touched by another person.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I will tell your provider that you would like a treatment other than massage." This is the most appropriate choice because it addresses the client's stated discomfort with being touched and shows respect for their autonomy and preferences. By communicating this to the provider, alternative treatment options can be explored that better suit the client's needs and comfort level.
A: Incorrect - Dismissing the client's concerns and assuming the anxiety will lessen is not addressing the root issue of their discomfort.
B: Incorrect - While accommodating by suggesting gloves, it does not address the core issue of the client's aversion to touch.
C: Incorrect - Asking why the client doesn't like to be touched may put them on the spot and does not provide a solution to their discomfort.