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: B
Rationale: The correct answer is B. Providing frequent rest periods for a client experiencing mania in bipolar disorder is essential to prevent exhaustion and promote relaxation. Rest periods help in reducing stimulation and preventing overactivity, which can exacerbate manic symptoms. Encouraging group activities (choice
A) may increase excitement and energy levels. Offering high-calorie snacks (choice
C) can lead to hyperactivity and disrupt sleep patterns. Allowing unlimited physical activity (choice
D) can further escalate manic symptoms and risk of injury.
Question 2 of 5
A nurse is providing discharge teaching to the parents of a child who has ADHD and a prescription for methylphenidate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Monitor the child's weight frequently. This instruction is crucial because methylphenidate, a stimulant medication commonly used to treat ADHD, can potentially cause appetite suppression and weight loss in children. By monitoring the child's weight regularly, the parents can ensure the medication is not negatively impacting their child's growth and development.
A: Administering the medication at bedtime is not recommended as it can interfere with the child's sleep.
C: Giving the medication with milk is not necessary for methylphenidate administration.
D: Discontinuing the medication if insomnia occurs should be discussed with the healthcare provider first before making any changes to the treatment plan.
By choosing option B, the parents can actively participate in their child's care and ensure the medication is being managed effectively.
Question 3 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer’s disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Position the mattress on the floor. Placing the mattress on the floor reduces the risk of injury in case the client falls out of bed while wandering at night. This instruction prioritizes safety and minimizes the potential harm from falls. Installing sensor devices on outside doors (
B) may help monitor the client's movements but does not directly address fall prevention. Encouraging physical activity prior to bedtime (
C) may increase restlessness and exacerbate wandering behavior. Putting locks at the top of doors (
D) may pose a safety risk in case of emergencies and hinder the client's ability to freely move within the home.
Question 4 of 5
A nurse in an inpatient mental health facility is planning care for a client who has schizophrenia and is experiencing delusions. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to focus on reality-based topics. This intervention is important to help the client differentiate between delusions and reality, promoting insight and coping skills. By redirecting the client's focus to reality-based topics, the nurse can help decrease the intensity of delusions and foster a connection to the present moment.
Choices B and C would reinforce the delusions, exacerbating the client's symptoms.
Choice D may provide temporary relief but does not address the underlying issue of delusions.
Question 5 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia refer to the absence or reduction of normal behaviors or functions. Social withdrawal is a classic negative symptom, characterized by the client's lack of interest in social interactions or relationships. Delusions (
A) and hallucinations (
B) are positive symptoms involving distorted perceptions or beliefs. Agitation (
D) is a symptom of increased psychomotor activity, not a negative symptom. In summary, social withdrawal is the only choice that aligns with the definition of negative symptoms in schizophrenia.