ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN 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 in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. This is important because individuals experiencing mania in bipolar disorder often have high energy levels, decreased need for sleep, and exhibit impulsive behaviors. Encouraging rest periods can help to regulate their energy levels and promote relaxation, which can aid in managing symptoms of mania.
Choice A is incorrect because placing the client in seclusion can exacerbate feelings of anxiety and agitation.
Choice B may not be effective as spending time in a dayroom may not address the client's need for rest.
Choice C is not appropriate as withdrawing TV privileges may not be directly related to managing mania symptoms.
In summary, encouraging the client to take frequent rest periods is the most appropriate intervention as it directly addresses the symptoms of mania by helping to regulate energy levels and promote relaxation.
Question 2 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B because increased thoughts of suicide can occur in the initial phase of fluoxetine treatment due to the activation of energy before mood improvement.
Choice A is incorrect as it typically takes weeks for mood improvement to occur.
Choice C is incorrect because tyramine restriction is associated with MAOIs, not SSRIs like fluoxetine.
Choice D is incorrect as lithium monitoring is not relevant to fluoxetine therapy.
Question 3 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because encouraging the client to express feelings of anger helps in addressing the underlying emotions that may lead to self-mutilation. This intervention promotes open communication and healthy emotional expression, which can reduce the need for self-harm. Restricting access to personal belongings (
A) may escalate feelings of helplessness and increase the risk of self-harm. Placing the client in seclusion (
C) can be traumatic, worsen feelings of isolation, and hinder therapeutic rapport. Directly telling the client to stop self-mutilation (
D) is not effective as it oversimplifies the complex issue and may lead to defensiveness.
Question 4 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A, D, E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time helps in enhancing understanding and compliance due to cognitive impairment in dementia.
D: Reinforcing orientation to time, place, and person helps maintain the client's connection to reality and reduce confusion.
E: Establishing eye contact when communicating with the client promotes engagement and connection, aiding in effective communication.
Incorrect choices:
B: Refuting delusions using logic may escalate confusion and distress in the client with dementia.
C: Allowing the client to choose among a variety of activities may overwhelm them due to cognitive limitations.
Question 5 of 5
A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D. The nurse should see the client taking clozapine and reporting a sore throat first because clozapine can cause agranulocytosis, a serious side effect characterized by a low white blood cell count, which can lead to life-threatening infections. Monitoring for signs of infection, such as a sore throat, is crucial to prevent complications. This client's situation requires immediate attention to assess the severity of the sore throat and take necessary actions to prevent further complications.
Choice A is incorrect because although mocking behavior can be disruptive, it does not pose an immediate threat to the client's health or safety.
Choice B is incorrect as the client's distress over a change in routine, while important, does not present an immediate risk to their well-being.
Choice C, assisting a client with ADLs, is important but can be prioritized after addressing the urgent health concern of the client taking clozapine.