ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Provide frequent rest periods. During mania, clients with bipolar disorder have high energy levels and may engage in excessive activities, leading to physical and mental exhaustion. Providing frequent rest periods helps to prevent burnout and promotes relaxation.
Choice B is incorrect as social interaction can provide support and prevent feelings of isolation.
Choice C is incorrect as unlimited physical activity can exacerbate manic symptoms.
Choice D is incorrect as limiting choices can cause frustration and may escalate the manic episode.
Question 2 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. Benzodiazepines help to stabilize the central nervous system during alcohol withdrawal, making it the appropriate choice for this client.
Incorrect
Choices:
A: Methadone is used for opioid withdrawal, not alcohol withdrawal.
C: Naltrexone is used for alcohol dependence treatment by reducing cravings, not for acute withdrawal symptoms.
D: Disulfiram is used as a deterrent for alcohol consumption, not for managing withdrawal symptoms.
Question 3 of 5
A nurse in a psychiatric unit is providing discharge instructions to a client who has schizophrenia and a new prescription for clozapine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expect to have an increased risk of infection. Clozapine is known to suppress the immune system, increasing the risk of infections. The nurse should educate the client to monitor for signs of infection, practice good hygiene, and promptly report any symptoms of infection to their healthcare provider.
Choice A is incorrect because getting up quickly can lead to orthostatic hypotension, a common side effect of clozapine.
Choice C is incorrect as clozapine does not specifically require avoiding sunlight.
Choice D is incorrect as limiting fluid intake is not a requirement for clozapine.
Question 4 of 5
A nurse is assessing a client who has opioid withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. Opioid withdrawal often presents with symptoms like insomnia due to increased sympathetic activity. Hypotension (
A) is less likely as opioids can cause hypertension. Hyperthermia (
B) is not typically associated with opioid withdrawal. Bradycardia (
D) is also less common, as opioid withdrawal can lead to tachycardia. Insomnia is a hallmark symptom of opioid withdrawal, making it the most appropriate choice.
Question 5 of 5
A nurse is providing teaching to a client who has obsessive-compulsive disorder and engages in excessive handwashing. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Allow additional time for rituals. This is because abruptly stopping the handwashing rituals can lead to increased anxiety and distress for the client. Allowing additional time for rituals can help the client feel more in control and gradually work towards reducing the behavior. Encouraging the client to stop washing hands (
A) abruptly can be counterproductive. Limiting ritual behaviors immediately (
C) can also increase anxiety. Ignoring the compulsions (
D) may worsen the condition.