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: The correct answer is C: Dysrhythmias. Haloperidol is an antipsychotic medication that can cause QT prolongation, leading to dysrhythmias such as torsades de pointes. The nurse should monitor the client's ECG for any signs of QT prolongation and dysrhythmias. Bleeding (
A) is not a common adverse effect of haloperidol. Cataracts (
B) are more associated with long-term use of antipsychotic medications. Pancreatitis (
D) is not a common adverse effect of haloperidol.
Question 2 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse could teach the client which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale: The correct answer is A. Running 4 miles outdoors every afternoon can lead to increased sweating, which can cause dehydration. Lithium is excreted by the kidneys, and dehydration can decrease kidney function, leading to an increased risk of lithium toxicity.
Choice B is incorrect because consuming sodium-containing foods helps to maintain electrolyte balance, which is important for lithium therapy.
Choice C is incorrect because adequate fluid intake is important to prevent dehydration and maintain kidney function.
Choice D is incorrect because tyramine is not directly related to lithium toxicity.
Question 3 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Rationale for Correct Answer (
D): Talking the client through tasks one step at a time is effective for individuals with Alzheimer's disease as it helps them focus on each step and reduces confusion. It promotes independence and reduces frustration. This approach breaks down complex tasks into manageable steps, enhancing the client's ability to complete tasks successfully.
Summary of Incorrect
Choices:
A: Providing an activity schedule that changes daily can increase confusion and disorientation for individuals with Alzheimer's.
B: Rotating daily caregivers can disrupt the client's routine and cause distress as familiarity and consistency are crucial for individuals with Alzheimer's.
C: Limiting the client's time for activities can lead to feelings of rushed and frustration, impacting their ability to engage in tasks effectively.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the use to suggest to this client?
Correct Answer: D
Rationale:
Rationale:
Choice D, walking with the nurse in the courtyard, is the most appropriate activity for a client in the manic phase of bipolar disorder who is feeling bored. Walking provides physical activity, fresh air, and one-on-one interaction, which can help redirect excess energy and provide a calming effect. It also allows the nurse to monitor the client closely for any signs of escalating symptoms or unsafe behaviors.
Choices A, B, and C involve group activities that may overstimulate the client or increase agitation. These activities may not provide the individualized attention and support needed during a manic episode. Overall, choice D is the best option for promoting a safe and therapeutic environment for the client.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. The nurse should explain that antidepressants often take several weeks to be fully effective. This is because it takes time for the medication to reach therapeutic levels in the body and for the brain chemistry to adjust. It is common for patients to experience some improvement in certain symptoms like appetite before seeing a significant improvement in mood and sleep. Adding an MAOI (choice
A) is not recommended due to the risk of serotonin syndrome when combined with SSRIs like citalopram. Changing the medication (choice
C) should only be considered if there is no improvement after a sufficient trial period. Recommending a sleep study (choice
D) is premature as the client's sleep issue may improve with the current medication over time.