ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with Alzheimer’s disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Use symbols to assist the client in locating rooms. Individuals with Alzheimer's disease often experience confusion and disorientation. Using symbols, such as pictures or color-coded signs, can help the client navigate and locate rooms easily. This promotes independence and reduces the client's anxiety.
Choice A is incorrect because seating the client at a dining table with six or more residents may overwhelm them and increase confusion.
Choice B is incorrect as providing several meal choices can be overwhelming for individuals with Alzheimer's.
Choice C is incorrect because giving complete directions before starting client care may not be effective due to the client's memory impairment.
Question 2 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Provide frequent rest periods. During manic episodes, clients with bipolar disorder often exhibit high energy levels. By providing frequent rest periods, the nurse can help the client conserve energy and prevent exhaustion. It also promotes relaxation and reduces stimulation, which can help in managing manic symptoms.
Choice B: Discouraging social interaction is incorrect because social support is important for clients with bipolar disorder. Isolating the client may worsen their symptoms.
Choice C: Allowing unlimited physical activity is incorrect as it may exacerbate manic behaviors and increase the risk of injury.
Choice D: Limiting the client's choices is incorrect because it may lead to feelings of frustration and agitation, which can escalate manic symptoms.
Therefore, providing frequent rest periods is the most appropriate intervention to help manage mania in a client with bipolar disorder.
Question 3 of 5
A nurse is planning care for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Monitor for seizures. During alcohol withdrawal, the client is at risk for seizures due to decreased levels of GABA and increased levels of glutamate in the brain. Monitoring for seizures allows for early detection and prompt intervention. Administering disulfiram (
A) is used for alcohol aversion therapy but is not appropriate during acute withdrawal. Restricting fluid intake (
C) can lead to dehydration, exacerbating withdrawal symptoms. Providing a high-protein diet (
D) is important for overall nutrition but does not specifically address the risk of seizures during withdrawal.
Question 4 of 5
A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the following findings should the nurse document as an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C: Contractions of the jaw. Thioridazine is an antipsychotic medication that can cause extrapyramidal side effects, such as jaw contractions known as trismus or dystonia. This is a common adverse effect that the nurse should document. Anhedonia (
A) is a symptom of schizophrenia, not an adverse effect of thioridazine. Waxy flexibility (
B) is a symptom of catatonia, not a side effect of thioridazine. Incongruent affect (
D) is a symptom related to the client's emotional expression, not a side effect of the medication.
Question 5 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Attention seeking. In histrionic personality disorder, individuals seek attention and approval excessively. This behavior is a key characteristic of the disorder. The other choices are incorrect because:
A) Lack of remorse is more associated with antisocial personality disorder;
C) Splitting of staff is a characteristic of borderline personality disorder;
D) Identity disturbance is commonly seen in borderline personality disorder as well.
Therefore, the most relevant finding for histrionic personality disorder is attention seeking.