Questions 35

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ATI RN Test Bank

ATI RN Mental Health 2023 III Questions

Extract:


Question 1 of 5

A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?

Correct Answer: A

Rationale: Thirst flags hyperglycemia, an olanzapine risk. Weight loss isn’t typical, tinnitus or taste loss aren’t linked.

Question 2 of 5

A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Reality-based focus distracts from hallucinations safely. Sympathy reinforces, denial agitates, and avoiding questions limits insight.

Question 3 of 5

A nurse is planning care for a client who has complicated grieving following the death of her child. Which of the following interventions should the nurse identify as the priority?

Correct Answer: C

Rationale: Normalizing anger validates emotions, reducing distress in complicated grief. Spiritual aid, staging, and activity are secondary.

Question 4 of 5

A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Avoiding abandonment is a BPD hallmark. Employment issues aren’t specific, avoidance fits schizoid, hoarding is separate.

Question 5 of 5

A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)

Correct Answer: D, E

Rationale: Short sentences (
D) and identifying stressors (E) de-escalate safely. Loud voice, direct stance, and restraints escalate without need.

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