ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Ask the client what the voices are saying. This intervention should be implemented first because it helps the nurse assess the content of the hallucinations and understand the client's experience. By asking about the voices, the nurse can gather important information to develop an appropriate care plan.
Choice B is incorrect as it denies the client's experience and may lead to mistrust.
Choice C may provide temporary distraction but does not address the hallucinations directly.
Choice D may help with anxiety but does not specifically address the auditory hallucinations. It is crucial to prioritize understanding the client's perception and providing appropriate support.
Question 2 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and a new prescription for lithium. Which statement by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I need to drink 2-3 liters of water each day." This statement indicates an understanding of the teaching because lithium can cause dehydration and increase the risk of toxicity. Adequate hydration helps to prevent this.
Choice A is incorrect because reducing sodium intake is not directly related to lithium's effectiveness.
Choice B is incorrect as lithium should be taken with food to reduce gastrointestinal side effects.
Choice D is incorrect because stopping lithium abruptly can lead to a relapse of symptoms.
Question 3 of 5
A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Anhedonia is a key feature of major depressive disorder characterized by the inability to feel pleasure. Insomnia commonly occurs due to disrupted sleep patterns. Feelings of worthlessness are typical in depression due to negative self-perception. Weight gain is less common in major depressive disorder, typically weight loss is more prevalent. Flight of ideas is not a typical finding in major depressive disorder, as it is more associated with manic episodes in bipolar disorder.
Question 4 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing anxiety, insomnia, and seizures. It helps stabilize the client during detoxification. Methadone (
A) is used for opioid withdrawal, Disulfiram (
B) is a deterrent for alcohol consumption, and Bupropion (
D) is used for smoking cessation.
Question 5 of 5
A nurse is providing teaching to a client who has generalized anxiety disorder about strategies to manage anxiety. Which of the following should the nurse include? (Select all that apply)
Correct Answer: A,B,D
Rationale: The correct strategies for managing anxiety include A: Progressive muscle relaxation, B: Journaling, and D: Deep breathing exercises. Progressive muscle relaxation helps reduce muscle tension and promote relaxation. Journaling allows the client to express emotions and thoughts, reducing stress. Deep breathing exercises help calm the nervous system and reduce anxiety symptoms.
Avoiding stressful situations (
C) is not a feasible long-term solution as it may limit the client's ability to cope with anxiety triggers. Drinking caffeinated beverages (E) can actually worsen anxiety symptoms due to the stimulant effect.