ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Provide written information about the client's treatment plan. This is important for a client with paranoid personality disorder as it helps establish trust through transparency and consistency. Providing written information ensures clarity and minimizes misunderstandings that may trigger paranoia.
Choice B is incorrect as encouraging countertransference can jeopardize the therapeutic relationship.
Choice C is incorrect as splitting behaviors are not typically associated with paranoid personality disorder.
Choice D is incorrect as isolating the client can exacerbate feelings of suspicion and mistrust.
Question 2 of 5
A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C because allowing the client unlimited time for the grieving process is essential in providing emotional support and promoting psychological well-being. This action demonstrates empathy, respect, and understanding towards the client's emotional needs during a difficult time. Changing the subject (
A) can be seen as dismissive and insensitive. Discouraging the client from forming new relationships (
B) is not appropriate as social support is crucial for coping with a terminal illness. Offering advice about treatment choices (
D) may not be relevant at this stage and can add to the client's emotional burden.
Question 3 of 5
A nurse is caring for a child who has ADHD and a prescription for methylphenidate oral solution 40 mg per day, divided into two doses. Available is methylphenidate oral solution 10 mg/5 mL. How many mL of methylphenidate should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale:
Correct
Answer: 10 mL
Rationale:
To calculate the mL per dose, divide the total daily dose by the concentration of the medication.
40 mg per day ÷ 10 mg/5 mL = 8 mL per dose
Round to the nearest whole number, the nurse should administer 10 mL per dose.
Summary of other choices:
A. Incorrect. No value provided.
B. Incorrect. No calculation shown.
C. Incorrect. No relevant information given.
D. Incorrect. No explanation provided.
E. Incorrect. No relevant answer.
F. Incorrect. No reasoning provided.
G. Incorrect. No calculation or reasoning shown.
Question 4 of 5
A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B, C, D
Rationale: The correct findings for a client with post-traumatic stress disorder (PTS
D) include difficulty concentrating (
B), difficulty sleeping (
C), and persistent negative beliefs about self (
D). Difficulty concentrating is common due to hypervigilance and intrusive thoughts. Sleep disturbances are typical in PTSD, as individuals may experience nightmares or insomnia. Persistent negative beliefs about self are a core symptom, often manifesting as feelings of guilt or worthlessness. Blaming others (
A) is not a typical symptom of PTSD. Excessive talking (E) may occur in some cases but is not a primary characteristic.
Question 5 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Asking the client if the medication is causing adverse effects is crucial to understanding potential barriers to adherence.
2. Adverse effects may lead to non-adherence, so addressing this can help improve medication compliance.
3. By addressing adverse effects, the nurse can work with the client to find solutions or alternative medications, enhancing adherence.
Other
Choices:
A: Discussing provider's goals may not directly address the client's reason for non-adherence.
C: Prescribing a second medication without addressing the root cause of non-adherence may not improve compliance.
D: Threatening inpatient care can lead to fear and non-cooperation, which may worsen adherence.