ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lorazepam causes sedation, increasing fall risk. Repeating dose risks overdose, tinnitus isn’t a side effect, restraints are unnecessary.
Question 2 of 5
A nurse is initiating a plan of care for a newly admitted client who has schizoid personality disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Solitary activities suit schizoid isolation preference. Splitting is BPD-related, anger isn’t key, social limits are unnecessary.
Question 3 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: C
Rationale: Preventing self-harm is the priority due to BPD’s high risk. Support groups, assertiveness, and awareness are secondary.
Extract:
Provider Prescriptions
• Olanzapine 10 mg tablet PO daily
• Alprazolam 1 mg tablet PO three times daily PRN anxiety
Nurses’ Notes
Client reports hearing voices that are talking about race cars and race tracks. Client appears diaphoretic and pale. Client reports weight gain of 2.2 kg (4.9 lb) in the past week.
Graphic Record
• BP 128/82 mmHg
• Pulse rate 98/min
• Respiratory rate 20/min
• Temperature 39.4° C (103° F)
• SaO2 95%
Question 4 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: A
Rationale: Temperature of 39.4°C (103°F) suggests fever or NMS, needing urgent attention. BP is normal, weight gain is common, hallucinations expected.
Extract:
Question 5 of 5
A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Low stimuli reduce hallucination intensity and agitation. Eye contact builds trust, socialization may overwhelm, and touch could be misinterpreted.