ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: B
Rationale: Preventing self-harm is the priority in BPD due to impulsivity risks. Groups, awareness, and assertiveness are secondary.
Question 2 of 5
A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: D, E
Rationale: Short sentences (
D) and identifying stressors (E) de-escalate safely. Loud voice, direct stance, and restraints escalate without need.
Question 3 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Symptoms suggest lithium toxicity, needing blood levels checked urgently. Improvement is unlikely without action, low sodium worsens it, and continuing risks harm.
Question 4 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: Hyperglycemia (256 mg/dL) from risperidone needs reporting. WBC, sodium, and platelets are normal.
Question 5 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reality-based focus distracts from hallucinations safely. Sympathy reinforces, denial agitates, and avoiding questions limits insight.