ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?
Correct Answer: B
Rationale: The correct answer is B because a well-lit room without glare or shadows and limited noise help reduce confusion and agitation in clients with delirium. Bright lighting and excessive noise can exacerbate symptoms. Sitting by the nurse's desk with the TV on (
A) and keeping the room shadowy with soft lighting and a continuous radio (
C) can both increase confusion. Continuously lighting the room brightly and awakening hourly (
D) can disrupt sleep and worsen the client's condition.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, 'I should have died because I am totally worthless.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct
Answer: C - "It's not unusual for depressed people to feel that way."
Rationale: This response acknowledges the client's feelings without judgment. It normalizes the experience of feeling worthless, validating the client's emotions and reducing feelings of isolation. It can help the client feel understood and supported, fostering trust in the nurse-client relationship.
Summary of other choices:
A: "Why do you feel you are worthless?" - This question may come across as confrontational or dismissive, potentially making the client feel defensive or misunderstood.
B: "You've been feeling that your life has no meaning." - This response focuses on a specific aspect of the client's statement and may not address the underlying feeling of worthlessness.
D: "You have a great deal to live for." - While well-intentioned, this response may invalidate the client's feelings and minimize the seriousness of their emotional pain.
Question 3 of 5
A nurse is teaching a client who has a new prescription for disulfiram (Antabuse). Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Do not use mouthwash while taking this medication." Disulfiram (Antabuse) interacts with alcohol, causing unpleasant effects like flushing, nausea, and vomiting. Mouthwash often contains alcohol, so using it can trigger these reactions.
Choices A, B, and C are incorrect because taking disulfiram with food, not crushing it, and avoiding grapefruit juice do not directly impact its effectiveness or interact with its mechanism of action.
Therefore, the nurse should emphasize the importance of avoiding alcohol-containing products like mouthwash to prevent adverse reactions while taking disulfiram.
Question 4 of 5
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D, remain with the client. This is important because the client is displaying signs of distress and anxiety. By staying with the client, the nurse can provide support, reassurance, and monitor the client's behavior for any changes or escalation. Giving a PRN sleeping medication (choice
A) may not address the underlying issue and could potentially worsen the situation. Encouraging the client to go back to bed (choice
B) may not be effective if the client is experiencing anxiety. Exploring alternatives to pacing the floor (choice
C) is a good intervention but staying with the client takes precedence in this scenario.
Question 5 of 5
A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
Correct Answer: D
Rationale: The correct answer is D: Decrease anxiety. In individuals with OCD, compulsive behaviors such as repetitive cleaning are performed to alleviate the distressing anxiety caused by obsessions. Cleaning provides a sense of control and temporary relief from anxiety.
Choice A is incorrect as the behavior is driven by internal anxiety, not manipulation.
Choice B is incorrect as the behavior does not aim to avoid social interaction.
Choice C is incorrect as the cleaning behavior is not directly related to preventing aggressive or impulsive behaviors.