ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: Haloperidol has the potential to cause cardiac-related adverse effects, including dysrhythmias (irregular heart rhythms). This is a particular concern in individuals who are predisposed to heart conditions or have other risk factors. The medication can prolong the QT interval, which is a measure of the time it takes for the heart's electrical system to recharge between beats. Prolonged QT interval can lead to serious and potentially life-threatening arrhythmias.
Question 2 of 5
A nurse is caring for a client who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Establishing clear behavioral limits is crucial for maintaining safety and order in the psychiatric unit.
Question 3 of 5
A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Correct Answer: C
Rationale: The MSE is a structured assessment of a client's current cognitive functioning, emotional state, and thought processes, crucial for evaluating suspected cognitive disorders.
Question 4 of 5
A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: This is the most appropriate response. It demonstrates active listening, empathy, and a willingness to understand the client's perspective. By asking the client to share more about their concerns, the nurse can engage in a meaningful conversation and provide information and support based on the client's needs.
Question 5 of 5
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
Correct Answer: C
Rationale: The statement about not being liked by peers indicates potential social isolation, a priority concern for adolescent mental health.