ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is counseling an adult client whose parent just died. The client states, 'My son is 4, and I don’t know how he’ll react when he finds out that grandpa died.' The nurse should inform the client that the preschool-age child commonly has which of the following concepts of death?
Correct Answer: A
Rationale: The correct answer is A: Death is not permanent and the loved one may come back to life. Preschool-age children often perceive death as reversible and temporary, believing the deceased may return. This concept aligns with Piaget's theory of preoperational thought, where children lack understanding of permanence.
Choice B is incorrect as preschoolers do not typically view death as contagious.
Choice C is incorrect as preschoolers do not focus on the physical aspects of dying.
Choice D is incorrect as preschoolers do not usually comprehend death as a natural part of life.
Question 2 of 5
A nurse is teaching the parent of a school-age child who has ADHD and a prescription for atomoxetine 40 mg daily. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Administer the medication before the child goes to school in the morning. This is because atomoxetine is a medication used to treat ADHD and is usually taken once daily in the morning. By taking it in the morning before school, the child can benefit from the therapeutic effects during the day when focus and attention are needed the most.
Choice A is incorrect because weight gain is not a common side effect of atomoxetine.
Choice B is incorrect because atomoxetine should not be crushed and mixed with juice as it may alter the medication's effectiveness.
Choice C is incorrect because therapeutic effects of atomoxetine may take several weeks to become noticeable, not within 24 hours.
Question 3 of 5
A nurse in a psychiatric unit is providing discharge instructions to a client who has schizophrenia and a new prescription for clozapine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expect to have an increased risk of infection. Clozapine is an atypical antipsychotic medication known to suppress the immune system, leading to an increased risk of infections such as pneumonia. This instruction is crucial for the client's safety to monitor for signs of infection and seek medical attention promptly.
Choice A is incorrect as getting up quickly can lead to orthostatic hypotension, a common side effect of clozapine.
Choice C is irrelevant to clozapine use.
Choice D is incorrect as adequate fluid intake is essential to prevent constipation, a common side effect of clozapine.
Question 4 of 5
A nurse is assessing a client who has alcohol use disorder and is experiencing 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 hyperexcitability. This is a result of decreased levels of gamma-aminobutyric acid (GAB
A) and increased levels of glutamate in the brain. Hypotension (
A), hyperactivity (
C), and increased appetite (
D) are not typical findings during alcohol withdrawal. Hypotension may occur in severe cases of alcohol intoxication, but not during withdrawal. Hyperactivity is more commonly seen in stimulant withdrawal. Increased appetite is not a characteristic symptom of alcohol withdrawal.
Question 5 of 5
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?
Correct Answer: D
Rationale: The correct answer is D: Decrease the number of verbal outbursts. This goal is appropriate for a client with antisocial personality disorder as it aims to address a specific behavioral symptom common in this population, promoting a more positive and effective interaction with others. Verbal outbursts can lead to conflict and negative consequences for the client, so reducing them can improve their social functioning.
Choice A (Use projection during group therapy) is incorrect because encouraging projection can exacerbate the client's tendency to blame others for their actions, reinforcing maladaptive behaviors.
Choice B (Increase self-esteem) is not the most relevant goal for addressing antisocial behavior specifically.
Choice C (Use bargaining skills for behavioral consequences) may not be effective as clients with antisocial personality disorder often have difficulty adhering to agreements and may manipulate situations for personal gain.