ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has schizophrenia. Which of the following statements by the client demonstrates concrete thinking?

A. I am aware that each problem has only one solution.B. I am a prophet of the most high judge.C. The voices tell me that I must avoid large crowds.D. I know that you are trying to poison me and you can't convince me otherwise.

Correct Answer: A

Rationale: Concrete thinking (
A) shows rigid, literal views. Prophet (
B) is delusional, voices (
C) hallucinatory, and poison (
D) paranoid, not concrete.

Question 2 of 5

A nurse is caring for a client who is experiencing auditory hallucinations. What should the nurse say first?

A. I know you hear the voices, but I do not.'B. How often do you hear the voices?'C. What are the voices telling you?'D. The voices are part of your illness.'

Correct Answer: C

Rationale: Asking content (
C) assesses safety risks first. Acknowledging (
A) and frequency (
B) follow, and illness explanation (
D) may dismiss.

Question 3 of 5

A nurse in an acute care mental health facility is caring for a client who has major depression and states, 'Everyone will be much better off when I’m gone.' Which of the following actions should the nurse take first?

A. Administer a prescribed anti-anxiety medication, instituting mouth checks to assure it is swallowed.B. Inform the provider about the client's statement.C. Assure that a staff member stays with the client at all times.

Correct Answer: C

Rationale: Constant supervision (
C) ensures immediate safety for suicidal ideation. Medication (
A) and informing the provider (
B) follow after securing safety.

Question 4 of 5

A nurse is reinforcing dietary teaching with a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). Which of the following foods should the nurse instruct the client to avoid while taking an MAOI?

A. ShellfishB. MilkC. Canned tunaD. Aged cheese

Correct Answer: D

Rationale: Aged cheese (
D) contains tyramine, risking hypertensive crisis with MAOIs. Shellfish (
A), milk (
B), and tuna (
C) are generally safe.

Question 5 of 5

A nurse is contributing to the care plan for a newly admitted client suffering from severe depressive disorder. Which of the following interventions should the nurse incorporate into the plan?

A. Encourage the client to make decisions.B. Spend time with the client.C. Provide the client with a selection of activities.D. Play a game of chess with the client.

Correct Answer: B

Rationale: Spending time (
B) offers support and observation for severe depression. Decisions (
A) and activities (
C) may overwhelm, and chess (
D) requires focus clients may lack.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN