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 improve mood and reduce symptoms of depression by increasing endorphins. This intervention can help the client combat feelings of sadness and hopelessness.
A: Discouraging the client from expressing feelings of anger is not therapeutic and may further suppress emotions, worsening depression.
B: Identifying and scheduling alternative group activities can be helpful, but it may not directly address the physical aspect of depression.
D: Keeping a bright light on in the client's room at night may disrupt sleep patterns and is not a targeted intervention for major depressive disorder.
Question 2 of 5
A nurse is caring for a client who has posttraumatic stress disorder related to military service. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assign the same staff to care for the client each day. Consistency in care providers helps establish trust and a sense of safety for clients with PTSD. This familiarity can reduce anxiety and improve therapeutic rapport. Encouraging the client to suppress feelings of trauma (
A) can be harmful as it may worsen symptoms. Addressing the client in an authoritative manner (
C) can trigger feelings of threat. Limiting time spent with the client (
D) can hinder the development of a therapeutic relationship.
Question 3 of 5
A nurse is providing teaching for a school-age child and his parents regarding a new prescription for risperidone. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Risperidone is known to cause sedation, so giving the last dose early can help minimize sleep disturbance.
2. Taking the last dose by 4 PM reduces the risk of insomnia or disrupted sleep patterns.
3. This statement shows the parent understands the importance of timing to optimize the medication's effects.
4. The other choices are incorrect because they do not directly relate to the appropriate use of risperidone.
Question 4 of 5
A nurse is caring for a client who has a lithium level of 0.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the next dose of lithium. A lithium level of 0.8 mEq/L is within the therapeutic range (0.6-1.2 mEq/L), so the nurse should continue the medication as prescribed. Withholding the dose (choice
A) can lead to subtherapeutic levels and ineffective treatment. Repeating the test (choice
B) is unnecessary as the current level is within the therapeutic range. Recommending a low sodium diet (choice
D) is not directly related to lithium therapy.
Question 5 of 5
A nurse in a community mental health clinic is caring for a group of clients. The nurse should encourage participation in cognitive behavioral family therapy in response to which of the following client statements?
Correct Answer: A
Rationale: The correct answer is A because cognitive behavioral family therapy focuses on changing negative thought patterns and behaviors. By wanting to change the way they react to family problems, the client is demonstrating a readiness to engage in cognitive restructuring and behavioral change.
Choice B is incorrect as it pertains more to individual therapy exploring past experiences.
Choice C is incorrect as it focuses on improving understanding of boundaries, which is not the primary goal of cognitive behavioral family therapy.
Choice D is incorrect because it emphasizes awareness of feelings rather than addressing reactive behaviors.