ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The client is demonstrating the defense mechanism of Compensation. Compensation is when a person tries to make up for a perceived weakness by emphasizing a desirable trait or attribute. In this case, the client is compensating for feeling inadequate or misunderstood by becoming angry and defensive, which can be seen as an attempt to assert power or control. Rationalization (
A) is creating logical explanations to justify behavior; Denial (
B) is refusing to accept reality; Displacement (
D) is redirecting emotions from the actual source to a less threatening target. These defense mechanisms do not align with the client's behavior in the scenario.
Question 2 of 5
A nurse is reviewing the laboratory results on an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hgb 10 g/dL. In anorexia nervosa, there is severe malnutrition leading to decreased hemoglobin levels (anemia) due to inadequate iron intake. This can result in fatigue, weakness, and shortness of breath. Blood glucose levels (choice
A) are usually normal in anorexia nervosa as the body tries to maintain glucose levels for energy. T4 levels (choice
B) are typically low in anorexia nervosa due to a decrease in thyroid function. Potassium levels (choice
C) are usually low in anorexia nervosa due to malnutrition and purging behaviors.
Therefore, Hgb 10 g/dL is the most expected finding in an adolescent with anorexia nervosa.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and takes clozapine. Which of the following findings is a priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Sore throat. With clozapine, a potential side effect is agranulocytosis, a severe drop in white blood cells. A sore throat could indicate an infection due to low white blood cells, which can be life-threatening. Reporting this promptly to the provider allows for timely intervention. A: Nausea is a common side effect of clozapine but not an immediate concern. B: A random blood glucose level of 130 mg/dL is within normal range and not directly related to clozapine. C: A heart rate of 104 per minute may be elevated but not specifically associated with clozapine use.
Question 4 of 5
A nurse is providing discharge teaching to the parents of a child who has ADHD and a prescription for methylphenidate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Monitor the child's weight frequently. This instruction is crucial because methylphenidate, a stimulant medication commonly used to treat ADHD, can potentially cause appetite suppression and weight loss in children. By monitoring the child's weight regularly, the parents can ensure the medication is not negatively impacting their child's growth and development.
A: Administering the medication at bedtime is not recommended as it can interfere with the child's sleep.
C: Giving the medication with milk is not necessary for methylphenidate administration.
D: Discontinuing the medication if insomnia occurs should be discussed with the healthcare provider first before making any changes to the treatment plan.
By choosing option B, the parents can actively participate in their child's care and ensure the medication is being managed effectively.
Question 5 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.