ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client with acute delirium. Which of the following instructions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Reinforce the client's orientation with the calendar. Delirium is characterized by confusion and disorientation. Using a calendar can help the client stay oriented to time, which can decrease anxiety and prevent worsening confusion. Refuting hallucinations (
B) is not effective as it can lead to increased agitation. Teaching assertive techniques (
C) is not relevant for managing delirium. Assigning different caregivers (
D) can exacerbate confusion due to lack of consistency.
Question 2 of 5
A nurse is evaluating the medication response of a client who takes naltrexone for the treatment of alcohol use disorder. The nurse should identify that which of the following is a therapeutic effect of this medication.
Correct Answer: C
Rationale: The correct answer is C: Reduces substance craving. Naltrexone is an opioid receptor antagonist that helps reduce alcohol cravings by blocking the pleasurable effects of alcohol. This reduces the desire to drink and supports the individual in maintaining sobriety.
A: Blocking aldehyde dehydrogenase is the mechanism of action for disulfiram, not naltrexone.
B: Naltrexone does not directly prevent anxiety of abstinence.
D: Naltrexone does not specifically decrease the likelihood of seizures.
Question 3 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The client is demonstrating the defense mechanism of Compensation. Compensation is when a person tries to make up for a perceived weakness by emphasizing a desirable trait or attribute. In this case, the client is compensating for feeling inadequate or misunderstood by becoming angry and defensive, which can be seen as an attempt to assert power or control. Rationalization (
A) is creating logical explanations to justify behavior; Denial (
B) is refusing to accept reality; Displacement (
D) is redirecting emotions from the actual source to a less threatening target. These defense mechanisms do not align with the client's behavior in the scenario.
Question 4 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 5 of 5
A nurse in a psychiatric unit is providing discharge teaching to a client who has major depressive disorder and a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take the medication in the morning. This is because fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for major depressive disorder. Taking it in the morning helps minimize the risk of insomnia, a common side effect.
Choice B is incorrect as improvement may take weeks, not hours.
Choice C is incorrect as discontinuing abruptly can lead to withdrawal symptoms; medication should be taken as prescribed.
Choice D is incorrect as the instruction is not relevant to fluoxetine but is more applicable to MAOIs.