ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Place the child in seclusion. This action should be taken first to ensure the safety of the other children in the unit and prevent further physical aggression. Seclusion can help calm the child down and prevent harm to others. Using a therapeutic hold technique (
B) or applying wrist restraints (
C) may escalate the situation and pose a risk of injury to the child and others. Administering risperidone (
D) is a medication used for behavioral disorders, but it is not the first step in managing immediate physical aggression. It is crucial to prioritize safety and de-escalation strategies in such situations.
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 providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: B
Rationale: The correct answer is B: Snap a rubber band on your wrist when you think about checking the locks. This is an effective application of the thought stopping technique, as the physical sensation of snapping the rubber band serves as a distraction and helps interrupt the obsessive thought pattern. Keeping a journal (choice
A) does not directly address the behavior in the moment. Asking a family member for help (choice
C) does not empower the client to manage their own behavior. Focusing on abdominal breathing (choice
D) may be helpful for relaxation but does not directly address the obsessive thought.
Question 4 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: B
Rationale: The correct answer is B. Providing frequent rest periods for a client experiencing mania in bipolar disorder is essential to prevent exhaustion and promote relaxation. Rest periods help in reducing stimulation and preventing overactivity, which can exacerbate manic symptoms. Encouraging group activities (choice
A) may increase excitement and energy levels. Offering high-calorie snacks (choice
C) can lead to hyperactivity and disrupt sleep patterns. Allowing unlimited physical activity (choice
D) can further escalate manic symptoms and risk of injury.
Question 5 of 5
A nurse is assessing a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. During alcohol withdrawal, the client may experience hallucinations due to central nervous system hyperactivity. This is a common symptom known as alcohol withdrawal hallucinosis. Bradycardia (
A) and hypotension (
C) are unlikely as withdrawal typically leads to increased heart rate and blood pressure. Hyperactivity (
D) is less common and usually occurs in the early stages of withdrawal, not when hallucinations start. Visual hallucinations are a key sign of alcohol withdrawal and can range from mild distortions to vivid and frightening images.