ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?
Correct Answer: A
Rationale: Helping the client identify anxiety triggers is a crucial step in managing chronic anxiety. This allows the client to develop coping strategies and minimize stressors. Repressing feelings weekly counselor contact or eliminating all stress are not realistic or effective strategies.
Question 2 of 5
A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?
Correct Answer: D
Rationale: An elevated creatinine level (2.1 mg/dL) indicates possible renal dysfunction which is a concern for lithium use. Lithium is excreted by the kidneys and impaired renal function increases the risk of lithium toxicity. Normal potassium slightly low sodium and normal calcium do not warrant withholding the medication.
Question 3 of 5
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?
Correct Answer: B
Rationale: A private room close to the nursing station is ideal for a client in the manic phase of bipolar disorder. The nurse can monitor the client's behavior more closely while providing a quiet private space to prevent overstimulation from other clients. Other options risk overstimulation unnecessary seclusion or inadequate monitoring.
Question 4 of 5
A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?
Correct Answer: C
Rationale: A skin rash is a serious adverse effect of lamotrigine as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) which require immediate medical intervention. Other side effects are less urgent.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The client is doing calisthenics in the client dining room during lunchtime instead of eating. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Offering the client a milkshake while directing them to a different activity provides a way to meet the client's nutritional needs and addresses their manic energy by giving them a focus other than exercise. This approach maintains structure without creating confrontation.