ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer haloperidol 7 mg IM to a client who is severely agitated. Available is haloperidol injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.4
Rationale: The correct answer is 1.4 mL.
To calculate this, you divide the desired dose by the concentration of the drug. In this case, 7 mg ÷ 5 mg/mL = 1.4 mL. This ensures the client receives the correct dosage.
Choice A (2.5 mL) is incorrect as it would result in administering more than the prescribed dose.
Choice B (0.5 mL) is incorrect as it would not provide the full 7 mg dose needed for the client's condition.
Choice C (3 mL) is incorrect as it would exceed the prescribed dosage, potentially leading to adverse effects.
Choice D, E, F, and G are not valid options as they are not within a reasonable range based on the calculation.
Question 2 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By assessing the client's intent, the nurse can determine the level of risk and take appropriate measures to prevent harm. Option A focuses on anger management, which is not the immediate concern. Option B is helpful but does not address the current aggressive behavior. Option D is also important but does not address the immediate safety issue. It is crucial to prioritize safety in situations involving aggression in a mental health facility.
Question 3 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: A
Rationale: The correct answer is A: Geriatric Depression Scale. This screening tool is essential for assessing depression in older adults, as it helps identify symptoms that may be overlooked. Depression is common in the elderly and can have significant impacts on their overall health and well-being. The Geriatric Depression Scale is specifically designed to assess depression in older adults, making it a crucial test for the nurse to include in their screening assessments.
The other choices are incorrect because:
B: Pain Assessment in Advanced Dementia Scale - This tool is not relevant for screening active older adult clients for general health assessments.
C: CAGE Questionnaire - This tool is used for assessing alcohol abuse, which may not be the primary focus of screening for active older adults.
D: Denver II Developmental Screening Test - This test is designed for children, not older adults, and is not suitable for screening in this population.
Question 4 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Schema-focused therapy. This therapy is effective for treating narcissistic personality disorder as it targets the underlying maladaptive schemas and core beliefs that contribute to the disorder. By addressing these deep-seated patterns, individuals can develop healthier ways of thinking and behaving. Assertiveness training (
A) may not be as effective for addressing the core issues of narcissistic personality disorder. Response prevention therapy (
C) is typically used for anxiety disorders, not personality disorders. Cognitive behavioral therapy (
D) can be helpful but may not specifically target the underlying schemas in the same way as schema-focused therapy.
Question 5 of 5
A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Intense efforts to avoid abandonment. Individuals with borderline personality disorder often exhibit fear of abandonment leading to intense efforts to avoid it. This behavior is a key feature of the disorder, characterized by frantic attempts to avoid real or imagined separation. This finding is supported by the Diagnostic and Statistical Manual of Mental Disorders criteria for borderline personality disorder.
Choices A, B, and C are incorrect because while individuals with borderline personality disorder may experience difficulty in maintaining employment, have impulsivity leading to reckless spending or hoarding, and struggle with unstable relationships, the most characteristic feature related to the fear of abandonment is intense efforts to avoid it.