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 is essential to establish boundaries and promote a structured environment. By enforcing consistent limits, the nurse helps the client understand acceptable behaviors and consequences, fostering a sense of security and predictability. Encouraging flexibility with unit rules (
A) may enable manipulation by blurring boundaries. Allowing negotiation of consequences (
C) can reinforce manipulative behavior by giving the client power to avoid accountability. Avoiding addressing manipulative behavior (
D) fails to address the issue and can perpetuate maladaptive behaviors.
Question 2 of 5
A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: Survivors of abuse often feel guilty. This statement indicates understanding because feelings of guilt are commonly experienced by survivors due to manipulation and blame by abusers. Guilt can prevent victims from seeking help.
Incorrect choices:
B: Abusers often have high self-esteem - This is incorrect as abusers typically have low self-esteem and use control tactics to compensate.
C: The honeymoon stage of violence usually gets longer over time - This is incorrect as the honeymoon phase tends to decrease over time, not get longer.
D: As abuse continues, victims become more determined to be independent - This is incorrect as victims often experience increased dependency on their abusers due to manipulation and control.
Question 3 of 5
A nurse is caring for a client with Alzheimer’s disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Use symbols to assist the client in locating rooms. Individuals with Alzheimer's disease often experience confusion and disorientation. Using symbols, such as pictures or color-coded signs, can help the client navigate and locate rooms easily. This promotes independence and reduces the client's anxiety.
Choice A is incorrect because seating the client at a dining table with six or more residents may overwhelm them and increase confusion.
Choice B is incorrect as providing several meal choices can be overwhelming for individuals with Alzheimer's.
Choice C is incorrect because giving complete directions before starting client care may not be effective due to the client's memory impairment.
Question 4 of 5
A nurse is reviewing laboratory findings for a client who is taking valproic acid. Which of the following results should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: ALT 65 units/L. Elevated ALT levels indicate possible liver damage, a known side effect of valproic acid. The nurse should report this to the provider for further evaluation and management. Platelets at 250,000/mm³ (
A), AST at 45 units/L (
B), and WBC at 9,000/mm³ (
C) are within normal ranges and not directly associated with valproic acid toxicity.
Therefore, they do not require immediate reporting.
Question 5 of 5
A nurse is reviewing laboratory values for a client who has bipolar disorder and a prescription for lithium. Which of the following laboratory results places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: The correct answer is B: Sodium 130 mEq/L. Low sodium levels predispose the client to lithium toxicity as both sodium and lithium compete for reabsorption in the kidneys. Low sodium levels can lead to increased lithium reabsorption, elevating lithium levels and increasing the risk of toxicity.
Incorrect answers:
A: Calcium levels are not directly related to lithium toxicity.
C: Chloride levels do not impact lithium toxicity risk.
D: Potassium levels are not directly linked to lithium toxicity.