ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: C
Rationale: The correct initial action for the nurse to take is choice C: Talk to the client and identify the specific limits that are required of the client's behavior. This is the most appropriate response because it addresses the root cause of the issue - the client's disruptive behavior. By discussing with the client and setting clear boundaries, the nurse can help the client understand the consequences of their actions and work towards improving their behavior.
Choice A: Discussing the problem in a community meeting may embarrass the client and could lead to further disruptive behaviors.
Choice B: Escorting the client to her room each time she socializes is not addressing the underlying issue and may not be an effective long-term solution.
Choice D: Telling other clients to ignore the lies does not address the disruptive behavior and may not be a sustainable solution in managing the situation.
In summary, choice C is the best initial action as it directly addresses the disruptive behavior and helps the client understand the expectations for their behavior.
Question 2 of 5
A nurse is assessing a client who has depression. Which of the following findings are risk factors of depression? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answer includes low self-esteem, irritability, chronic pain, and insomnia as risk factors for depression. Low self-esteem can lead to feelings of worthlessness. Irritability can indicate emotional distress. Chronic pain can contribute to a sense of hopelessness. Insomnia disrupts sleep patterns and affects mood. Euphoria is not a risk factor for depression, as it denotes an elevated mood. Summarily, choices E, F, and G are incorrect because euphoria does not align with depressive symptoms, and the remaining options do not directly relate to known risk factors for depression.
Question 3 of 5
A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because monitoring lithium levels is crucial to ensure therapeutic effectiveness and prevent toxicity. Regular monitoring helps adjust dosage accordingly.
Choice B is incorrect as lithium is not addictive, and discontinuation should be done gradually under medical supervision.
Choice C is incorrect because weight gain is a common side effect, not necessarily an indication of toxicity.
Choice D is incorrect as diuretics can worsen lithium toxicity.
Question 4 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct answers are C (Facial grimacing and eye blinking) and E (
Tongue thrusting and lip-smacking) because these are common symptoms of tardive dyskinesia, a movement disorder associated with long-term use of antipsychotic medications like haloperidol. Facial grimacing, eye blinking, tongue thrusting, and lip-smacking are all involuntary movements typically seen in tardive dyskinesia. These movements can be permanent if not addressed promptly.
Incorrect answers:
A (Fine hand tremors and pill rolling) are not typically associated with tardive dyskinesia but may be signs of other conditions like Parkinson's disease.
B (Urinary retention and constipation) are not symptoms of tardive dyskinesia but may be related to other side effects of medications.
D (Involuntary pelvic rocking and hip thrusting movements) are not typical symptoms of tardive dyskinesia but may be seen in other movement disorders.
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Question 5 of 5
A nurse is discussing treatment of depressive disorders with a client who has major depression. Which of the following client statements indicates understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will attend psychotherapy to help manage my depression." This statement shows an understanding of the holistic approach to treating depression, which often involves a combination of medication and therapy. Psychotherapy is an evidence-based treatment for depression that helps individuals understand and manage their emotions, thoughts, and behaviors. It addresses underlying issues contributing to depression.
Choice A is incorrect because antidepressants typically take weeks to show full effect, not just three to five days.
Choice B is incorrect as positive thinking alone is not sufficient to cure depression.
Choice D is incorrect as depression is not a voluntary choice but a complex mental health condition that often requires professional help.