Questions 50

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ATI PN Mental Health 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Explaining response prevention, part of ERP therapy, targets OCD directly and is a priority. Medication (
B) and relaxation (
C) are secondary, and assessment (
D) follows intervention planning.

Question 2 of 5

A nurse on a mental health unit is assisting with developing an in-service for staff members about legal issues. Which of the following examples should the nurse include as an example of libel?

Correct Answer: D

Rationale: Libel is written defamation; false documentation fits this. A is negligence, B is battery, and C is assault.

Question 3 of 5

A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: Photosensitivity is a haloperidol side effect; this shows understanding. Tinnitus (
A), incontinence (
B), and metallic taste (
C) are not typical.

Question 4 of 5

A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination?

Correct Answer: A

Rationale: Command hallucinations direct actions, like quitting eating (
A). B is a delusion, C is a visual hallucination, and D is paranoia, not commands.

Question 5 of 5

A nurse is collecting data from a client who is taking lithium. Which of the following findings should the nurse identify as early manifestations of lithium toxicity? (Select all that apply)

Correct Answer: A,B,D,E

Rationale: Early lithium toxicity includes confusion (
A), nausea (
B), polyuria (
D), and incoordination (E) due to its effects on the CNS, GI tract, kidneys, and neuromuscular system. Convulsions (
C) indicate severe toxicity, not an early sign.

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