ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Monitor for seizures. During alcohol withdrawal, the client is at risk for seizures due to decreased levels of GABA and increased levels of glutamate in the brain. Monitoring for seizures allows for early detection and prompt intervention. Administering disulfiram (
A) is used for alcohol aversion therapy but is not appropriate during acute withdrawal. Restricting fluid intake (
C) can lead to dehydration, exacerbating withdrawal symptoms. Providing a high-protein diet (
D) is important for overall nutrition but does not specifically address the risk of seizures during withdrawal.
Question 2 of 5
A nurse is providing teaching to a client who has panic disorder and is receiving alprazolam. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Avoid activities that require alertness. This instruction is crucial because alprazolam is a benzodiazepine that can cause drowsiness and impair coordination. By avoiding activities requiring alertness, the client can minimize the risk of accidents. Taking the medication on an empty stomach (
A) is unnecessary as alprazolam can be taken with or without food. Stopping the medication if dizziness occurs (
C) is dangerous and should not be done abruptly without consulting a healthcare provider. Taking an additional dose if anxiety increases (
D) can lead to overdose and is not recommended.
Question 3 of 5
A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because benztropine is commonly used to treat extrapyramidal side effects (EPS) caused by antipsychotic medications, such as tremors, muscle stiffness, and restlessness. By including this in the teaching, the nurse is providing valuable information on how the medication works to address these side effects.
Choices B, C, and D are incorrect because benztropine is not used to treat depression, hallucinations, or tachycardia in clients with schizophrenia. Benztropine's main purpose is to manage EPS specifically.
Question 4 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and fear. The individual may have difficulty sitting still and may appear agitated. Increased energy (
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued due to constant worry. Depersonalization (
C) is a dissociative symptom where one feels detached from oneself, not a common feature of generalized anxiety disorder. Euphoric mood (
D) is more characteristic of conditions like bipolar disorder, not generalized anxiety disorder.
Question 5 of 5
A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts for the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale:
Correct Answer: B. Report suspected abuse to child protective services.
Rationale: The nurse should prioritize the safety and well-being of the child. Reporting suspected abuse to child protective services is the first step in ensuring the child's protection from potential harm. It is crucial to involve the appropriate authorities to investigate further and intervene if necessary to safeguard the child's welfare.
Summary of Other
Choices:
A: Requesting the parent to leave the room while interviewing the child may be necessary for obtaining accurate information, but ensuring the child's safety takes precedence.
C: Asking the child how the injury occurred can be important for gathering information, but immediate action to protect the child is crucial.
D: Determining the immediate safety needs of the child is important, but reporting suspected abuse is the primary action to address potential harm.