ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a client who has borderline personality disorder and exhibits manipulative behavior. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Implement consistent limit-setting. For clients with borderline personality disorder and manipulative behavior, consistent limit-setting helps establish boundaries and promote a sense of security. By enforcing clear and consistent rules, the nurse can prevent manipulation and maintain a therapeutic environment. Encouraging flexibility with unit rules (choice
A) may enable manipulation and disrupt the treatment process. Allowing the client to negotiate consequences (choice
C) can reinforce manipulative behaviors. Avoiding addressing manipulative behavior (choice
D) can lead to escalation and reinforcement of maladaptive behaviors.
Question 2 of 5
A nurse in a psychiatric unit is providing discharge teaching to a client who has major depressive disorder and a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take the medication in the morning. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for depression. Taking it in the morning helps prevent insomnia, a common side effect. Option B is incorrect as improvement may take weeks, not 24 hours. Option C is wrong as stopping abruptly can lead to withdrawal symptoms. Option D is irrelevant as tyramine interactions are associated with MAOIs, not SSRIs.
Question 3 of 5
A nurse is assessing a client who has been taking clozapine for 3 months. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: The correct answer is B: Sore throat. Clozapine can cause agranulocytosis, a serious condition characterized by a low white blood cell count, which can manifest as sore throat, fever, or flu-like symptoms. Immediate reporting is crucial to monitor for potential complications. Constipation (
A), dry mouth (
C), and drowsiness (
D) are common side effects of clozapine but do not require immediate reporting unless severe.
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: Provide frequent rest periods. During manic episodes in bipolar disorder, individuals have high energy levels, reduced need for sleep, and increased activity levels. Providing frequent rest periods helps prevent exhaustion and promotes relaxation, which can help stabilize mood. Encouraging group activities (
A) may exacerbate manic symptoms due to increased stimulation. Offering high-calorie snacks (
C) can lead to poor dietary choices and worsen physical health. Allowing unlimited physical activity (
D) can be dangerous as individuals in a manic state may engage in risky behaviors.
Question 5 of 5
A nurse is caring for a client who has obsessive-compulsive disorder and engages in repeated handwashing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Allow the client additional time to complete rituals. This approach is known as a harm reduction strategy in managing obsessive-compulsive disorder. By allowing the client additional time to complete rituals, the nurse can help reduce the client's anxiety and provide a sense of control. Encouraging the client to stop washing hands (
A) may increase anxiety and worsen symptoms. Setting strict time limits on compulsions (
C) can also increase anxiety and lead to distress. Ignoring the client's compulsive behavior (
D) can be harmful as it may reinforce the behavior. It is important for the nurse to be supportive and understanding of the client's struggles while working towards more effective coping strategies.