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. During mania, individuals with bipolar disorder often have increased energy levels, decreased need for sleep, and may engage in risky behaviors. Encouraging rest periods helps to manage the client's energy levels and reduce the risk of exhaustion or impulsivity. Seclusion (
A) may exacerbate anxiety, spending time in the dayroom (
B) may increase stimulation, and withdrawing TV privileges (
C) may not address the core issue. Thus, option D is the most appropriate intervention for managing mania symptoms.
Question 2 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. Adolescents typically fall within Erikson's stage of Identity vs role confusion, where they explore their sense of self and develop a cohesive identity. During this stage, they may experiment with different roles and beliefs to establish their self-concept. Trust vs mistrust (
B) is the stage for infants, Generativity vs self-absorption (
A) is for middle adulthood, and Intimacy vs isolation (
C) is for young adulthood. The other choices are not relevant to the developmental stage of an adolescent.
Question 3 of 5
A client with schizophrenia is prescribed risperidone. Which of the following should the nurse monitor for as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Weight gain. Risperidone is known to cause metabolic side effects such as weight gain. The nurse should monitor the client for changes in weight regularly to address potential health concerns. Increased blood pressure (
A) is not a common adverse effect of risperidone. Excessive salivation (
C) is more commonly associated with medications that affect the cholinergic system. Bradycardia (
D) is not a typical side effect of risperidone. It is important for the nurse to be aware of the specific adverse effects of risperidone to provide safe and effective care for the client.
Question 4 of 5
A nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Ask the client what the voices are saying. This intervention is crucial because it helps the nurse gain insight into the content of the hallucinations, which can provide valuable information about the client's thoughts and feelings. It also shows the client that the nurse is listening and taking their experiences seriously. By understanding the content of the hallucinations, the nurse can better assess the client's mental state and develop an appropriate care plan.
Choice B is incorrect because directly telling the client the voices are not real may invalidate their experiences and lead to decreased trust.
Choice C is not the priority as it does not address the immediate need of addressing the hallucinations.
Choice D is not the first intervention as deep breathing exercises may not be effective in managing auditory hallucinations.
Question 5 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale:
Correct Answer: A: Methadone
Rationale:
1. Methadone is a long-acting opioid agonist that helps manage withdrawal symptoms and cravings in clients with opioid use disorder.
2. It has a gradual onset and longer duration of action, making it effective for preventing withdrawal symptoms.
3. Methadone is commonly used in opioid substitution therapy to stabilize clients and reduce the risk of relapse.
4. Disulfiram (
B) is used for alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for overdose reversal. Bupropion (
D) is used for smoking cessation, not opioid withdrawal.