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 a depressive episode. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Provide frequent rest periods. During a depressive episode in bipolar disorder, the client may experience fatigue and low energy levels. Providing frequent rest periods helps the client conserve energy and promotes relaxation, which can alleviate feelings of exhaustion and support overall mental well-being. Encouraging excessive physical activity (choice
A) can be harmful as it may exacerbate feelings of fatigue and overwhelm the client. Discouraging interaction with others (choice
C) can further isolate the client and worsen feelings of loneliness. Implementing a rigid daily routine (choice
D) may increase stress and anxiety for the client, which is counterproductive during a depressive episode.
Question 2 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 typically leads to increased sympathetic activity, causing symptoms like insomnia. Hypotension (
A) is not common in opioid withdrawal, as opioids can actually cause hypotension. Hyperthermia (
B) is also not a typical finding in opioid withdrawal. Bradycardia (
D) is unlikely as opioids usually cause bradycardia, not withdrawal. Insomnia (
C) is a common symptom due to the dysregulation of sleep-wake cycles during opioid withdrawal.
Question 3 of 5
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?
Correct Answer: D
Rationale: The correct answer is D: Decrease the number of verbal outbursts. This goal is appropriate for a client with antisocial personality disorder as it aims to address a specific behavioral symptom common in this population, promoting a more positive and effective interaction with others. Verbal outbursts can lead to conflict and negative consequences for the client, so reducing them can improve their social functioning.
Choice A (Use projection during group therapy) is incorrect because encouraging projection can exacerbate the client's tendency to blame others for their actions, reinforcing maladaptive behaviors.
Choice B (Increase self-esteem) is not the most relevant goal for addressing antisocial behavior specifically.
Choice C (Use bargaining skills for behavioral consequences) may not be effective as clients with antisocial personality disorder often have difficulty adhering to agreements and may manipulate situations for personal gain.
Question 4 of 5
A nurse is counseling an adult client whose parent just died. The client states, 'My son is 4, and I don’t know how he’ll react when he finds out that grandpa died.' The nurse should inform the client that the preschool-age child commonly has which of the following concepts of death?
Correct Answer: A
Rationale: The correct answer is A: Death is not permanent and the loved one may come back to life. Preschool-age children often perceive death as reversible and temporary, believing the deceased may return. This concept aligns with Piaget's theory of preoperational thought, where children lack understanding of permanence.
Choice B is incorrect as preschoolers do not typically view death as contagious.
Choice C is incorrect as preschoolers do not focus on the physical aspects of dying.
Choice D is incorrect as preschoolers do not usually comprehend death as a natural part of life.
Question 5 of 5
A nurse is teaching a client who has schizophrenia about the adverse effects of clozapine. Which of the following side effects should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. Clozapine is an atypical antipsychotic known to have a lower risk of causing tardive dyskinesia compared to typical antipsychotics. Tardive dyskinesia is a serious movement disorder characterized by involuntary repetitive movements of the face and body. It is crucial for the nurse to educate the client about this potential side effect to monitor and report any early signs. Increased salivation (
A), hypertension (
C), and photosensitivity (
D) are not commonly associated with clozapine use. This makes them incorrect choices in this scenario.