ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a delusion. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ask the client to describe their beliefs about the delusion. By asking the client to describe their beliefs, the nurse demonstrates empathy, active listening, and a desire to understand the client's perspective. This approach can help build a therapeutic relationship, gain insights into the client's thought processes, and potentially identify triggers or underlying emotions contributing to the delusion. It also allows the nurse to assess the client's level of insight and reality testing.
Incorrect
Choices:
A: Allowing the client to focus on the delusion can reinforce the false belief.
B: While impulse control is important, it is not directly related to addressing delusions in schizophrenia.
C: Contradicting the client's beliefs may lead to confrontation and worsen the therapeutic relationship.
Question 2 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is known as aversion therapy, where a negative stimulus (the snap of the rubber band) is paired with the unwanted behavior (checking locks excessively) to reduce the behavior over time. By associating discomfort with the thought of checking the locks, the client can learn to stop the behavior.
Choice A: Asking a family member to check the locks enables avoidance rather than addressing the behavior directly.
Choice B: Focusing on abdominal breathing is a relaxation technique, which may not directly address the behavior of checking locks excessively.
Choice C: Keeping a journal of behavior is a monitoring technique but does not actively interrupt or modify the behavior of checking locks.
In summary, choice D is the most appropriate as it directly targets the unwanted behavior and aims to decrease its frequency by introducing a negative consequence.
Question 3 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: D
Rationale: The correct assessment the nurse should perform is D: Blood pressure. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. Eating foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis due to the interaction between tyramine and MAOIs. Monitoring blood pressure is crucial to detect any potential hypertensive crisis. Pupil response (
A), bowel sounds (
B), and oxygen saturation (
C) are not directly related to the risk associated with tyramine intake in clients taking MAOIs. Blood pressure (
D) is the most relevant assessment in this situation to ensure the client's safety.
Question 4 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Makes inappropriate sexual comments. This behavior is concerning as it could indicate hypersexuality, a common symptom of mania. The nurse should report this to the provider for further assessment and intervention. Speaking in rhyming sentences (
B) is a common feature of mania but not as urgent to report. Not bathing for 2 days (
C) may also be due to mania, but it is not as critical as the inappropriate sexual comments. Reporting eating habits (
A) is important but not as urgent as addressing the sexual comments.
Question 5 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C, Recent head injury. This is important to report because bupropion is contraindicated in patients with a history of seizures or head trauma. The medication can lower the seizure threshold, increasing the risk of seizures in such patients. Reporting this finding is crucial to ensure the safety of the client. Hypothyroidism (choice
A) does not have a direct contraindication with bupropion. Knee arthroplasty (choice
B) and Hepatitis B infection (choice
D) are not contraindications for bupropion use.