ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because it's too noisy.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Reducing noise by keeping conversations and activities minimal at night directly addresses the client’s sleep issue, improving rest critical for eating disorder recovery. Habituation dismisses the concern, daytime sleep disrupts circadian rhythm, and TV adds new disturbances.
Question 2 of 5
A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: Asking if the medication causes adverse effects directly addresses potential barriers to adherence. Side effects are a common reason for non-compliance, and identifying them allows for adjustments to improve adherence. Threats of admission are coercive, discussing goals is indirect, and adding another medication without cause could worsen the issue.
Question 3 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: D
Rationale: How has this impacted your life?' elicits emotional and coping insights, unlike 'Why' (guilt-inducing), 'Are you okay' (insensitive), or hygiene support (practical, not coping-focused).
Question 4 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Informing the client of their right to refuse respects autonomy and addresses anxiety by empowering choice. Encouragement may coerce, family consent is inappropriate unless incompetent, and another nurse’s review doesn’t override refusal.
Question 5 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Dizziness is a common adverse effect of quetiapine, often due to orthostatic hypotension, not an allergy. This response reassures the client and explains the cause, suggesting management like rising slowly. Meals don’t address dizziness, stopping for allergy is incorrect, and morning timing doesn’t mitigate it.