ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and takes clozapine. Which of the following findings is a priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Sore throat. With clozapine, a potential side effect is agranulocytosis, a severe drop in white blood cells. A sore throat could indicate an infection due to low white blood cells, which can be life-threatening. Reporting this promptly to the provider allows for timely intervention. A: Nausea is a common side effect of clozapine but not an immediate concern. B: A random blood glucose level of 130 mg/dL is within normal range and not directly related to clozapine. C: A heart rate of 104 per minute may be elevated but not specifically associated with clozapine use.
Question 3 of 5
A nurse is providing teaching to a client who has depression and a new prescription for amitriptyline. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take this medication at bedtime. Amitriptyline is a tricyclic antidepressant known for causing drowsiness as a side effect. Instructing the client to take it at bedtime can help minimize the sedative effects and improve adherence.
Choice B is incorrect because antidepressants like amitriptyline can take several weeks to show significant improvement in symptoms, not within 24 hours.
Choice C is incorrect as tyramine restriction is typically associated with MAOIs, not tricyclic antidepressants like amitriptyline.
Choice D is incorrect because abruptly stopping amitriptyline can lead to withdrawal symptoms and potential relapse of depression symptoms.
Question 4 of 5
A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Self-mutilation. Individuals with borderline personality disorder often engage in self-harming behaviors as a way to cope with intense emotional distress. This behavior is a common symptom of the disorder and requires close monitoring and intervention by healthcare providers.
Choice B, pacing back and forth, is more commonly associated with anxiety disorders rather than borderline personality disorder.
Choice C, preoccupation with details, is more indicative of obsessive-compulsive disorder.
Choice D, disorganized speech, is a symptom often seen in schizophrenia rather than borderline personality disorder.
Therefore, the most likely expectation for a client with borderline personality disorder is self-mutilation due to the nature of the disorder and its associated symptoms.
Question 5 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.