ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has posttraumatic stress disorder related to military service. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assign the same staff to care for the client each day. This consistency helps establish trust and familiarity, promoting a sense of safety for the client with PTSD. It also aids in continuity of care and allows the client to build a therapeutic relationship with the staff. This approach can enhance the client's comfort level and reduce anxiety. Encouraging the client to suppress feelings (
A) is harmful as it can lead to further emotional distress. Addressing the client authoritatively (
C) may trigger feelings of threat or fear, worsening symptoms. Limiting time spent with the client (
D) can disrupt the therapeutic bond and hinder progress.
Question 2 of 5
A nurse is providing teaching to a client who has panic disorder and is receiving alprazolam. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Avoid activities that require alertness. This instruction is crucial because alprazolam is a benzodiazepine that can cause drowsiness and impair coordination. By avoiding activities requiring alertness, the client can minimize the risk of accidents. Taking the medication on an empty stomach (
A) is unnecessary as alprazolam can be taken with or without food. Stopping the medication if dizziness occurs (
C) is dangerous and should not be done abruptly without consulting a healthcare provider. Taking an additional dose if anxiety increases (
D) can lead to overdose and is not recommended.
Question 3 of 5
A nurse is caring for a client who has post-traumatic stress disorder (PTSD). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Provide a structured routine. Structured routines help individuals with PTSD feel safe and in control, reducing anxiety and triggers. Encouraging the client to discuss past trauma (
A) can be retraumatizing. Discouraging emotional expression (
C) may hinder healing. Limiting social interactions (
D) can increase feelings of isolation, worsening symptoms.
Question 4 of 5
A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder?
Correct Answer: B
Rationale: The correct answer is B: "I will provide my mother with detailed instructions about how to perform self-care." This statement indicates an understanding of obsessive-compulsive disorder as individuals with OCD often struggle with performing routine tasks without detailed instructions. Providing clear instructions can help the individual feel more in control and reduce anxiety.
A: Limiting clothing choices may worsen anxiety and reinforce compulsive behaviors.
C: Waking the mother up to check on her feeds into the need for reassurance, which can perpetuate OCD symptoms.
D: Discouraging the mother from talking about physical complaints is not directly related to managing OCD symptoms.
In summary,
Choice B is correct as it addresses the need for detailed instructions to support the mother in managing her self-care tasks, which aligns with the challenges faced by individuals with OCD.
Question 5 of 5
A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. During alcohol withdrawal, the client may experience hallucinations due to central nervous system hyperexcitability. This is a result of decreased levels of gamma-aminobutyric acid (GAB
A) and increased levels of glutamate in the brain. Hypotension (
A), hyperactivity (
C), and increased appetite (
D) are not typical findings during alcohol withdrawal. Hypotension may occur in severe cases of alcohol intoxication, but not during withdrawal. Hyperactivity is more commonly seen in stimulant withdrawal. Increased appetite is not a characteristic symptom of alcohol withdrawal.