ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has obsessive-compulsive disorder and engages in repeated handwashing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Allow the client additional time to complete rituals. This approach aligns with the principles of therapeutic communication and understanding of OCD. By allowing the client additional time, the nurse acknowledges and respects the client's struggle with compulsions without reinforcing or challenging the behavior. Encouraging the client to stop washing hands (
A) can be counterproductive as it may increase anxiety and resistance. Setting strict time limits (
C) may intensify distress and lead to potential non-compliance. Ignoring the client's behavior (
D) can create feelings of abandonment and hinder the therapeutic relationship.
Question 2 of 5
A nurse is assessing a child in the emergency department. Which of the following findings places the child at the greatest risk for physical abuse?
Correct Answer: A
Rationale: The correct answer is A. A 10-year-old child is at the greatest risk for physical abuse because children around this age are more likely to be physically abused due to the challenges associated with behavioral issues and caregiver expectations. Children who are home-schooled (choice
B) are not necessarily at higher risk for abuse, as abuse can occur in any educational setting. Having no siblings (choice
C) does not directly correlate with an increased risk of abuse. While having a medical condition like cystic fibrosis (choice
D) can make a child more vulnerable, the age of the child is a stronger indicator of risk.
Question 3 of 5
A nurse is planning care for a client with acute delirium. Which of the following instructions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Reinforce the client's orientation with the calendar. Delirium is characterized by confusion and disorientation. Using a calendar can help the client stay oriented to time, which can decrease anxiety and prevent worsening confusion. Refuting hallucinations (
B) is not effective as it can lead to increased agitation. Teaching assertive techniques (
C) is not relevant for managing delirium. Assigning different caregivers (
D) can exacerbate confusion due to lack of consistency.
Question 4 of 5
A nurse is planning care for a client who has bipolar disorder. The client reports not sleeping for 3 days and is exhibiting a euphoric mood. The nurse should identify which of the following as the priority intervention.
Correct Answer: D
Rationale: The correct answer is D: Provide high calorie snacks to the client. In bipolar disorder, lack of sleep and elevated mood can lead to increased energy expenditure. Providing high-calorie snacks can help replenish energy levels. This is the priority intervention as it addresses the client's physical needs.
A: Securing valuable possessions may be important but ensuring the client's physical well-being takes precedence.
B: Limiting loud noises may help create a calming environment but does not directly address the client's immediate needs.
C: Encouraging solitary activities may not be safe due to the client's current state of elevated mood.
Overall, addressing the client's physical needs is the priority in this scenario.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is taking lithium. Which of the following values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 1.5 mg/dL. This value should be reported to the provider because lithium can affect kidney function, leading to renal impairment. Creatinine is a marker of kidney function, and an elevated level could indicate potential kidney damage from lithium. The other choices (A, B,
D) are within normal ranges and not directly related to lithium therapy monitoring. Sodium and potassium levels may be affected by other factors such as diet or hydration status.
Therefore, the nurse should prioritize reporting the creatinine level to ensure the provider can assess the client's renal function in relation to lithium therapy.