Questions 54

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ATI RN Mental Health 2023 Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Symptoms suggest lithium toxicity, requiring blood tests. Improvement over time is false, continuing risks worsening, sodium reduction increases toxicity.

Question 2 of 5

A nurse is caring for a client who is receiving end-of-life care. The client states, 'The nurses here don’t do a good job caring for me.' Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Asking for more detail shows empathy and improves care. Family talk avoids, grieving labels dismissively, reassurance doesn’t address concerns.

Question 3 of 5

A nurse is caring for a client in an intensive care unit. The client develops delirium while recovering from surgery. To promote safety, which of the following actions should the nurse take?

Correct Answer: C

Rationale: Environmental cues (clocks, calendars) reduce confusion in delirium. Decision-making is impaired, family visits help, restraints increase agitation.

Question 4 of 5

A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Offering at the next dose respects autonomy despite involuntary status. Consequences are coercive, IM injection violates rights, and denying refusal is false.

Question 5 of 5

A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?

Correct Answer: C

Rationale: Communicating needs addresses BPD’s interpersonal challenges, aligning with therapies like DBT. Mood and hygiene are less specific, hallucinations aren’t typical.

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