ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Lithium levels need frequent monitoring at the start of therapy to prevent toxicity.
Question 2 of 5
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?
Correct Answer: A
Rationale: The correct answer is A: Experiencing diarrhea. Diarrhea can lead to dehydration and electrolyte imbalances, causing an increase in lithium levels and potential toxicity. Exercising moderately (
B) can help with mood stabilization and is not a risk factor for lithium toxicity. Increasing sodium intake (
C) can actually help reduce lithium levels in the body. Drinking green tea (
D) does not interact significantly with lithium.
Question 3 of 5
A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Echolalia, or repeating words/phrases, is a common communication pattern in autism spectrum disorder.
Question 4 of 5
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions?
Correct Answer: A
Rationale: The correct answer is A: Denial. The client's calm demeanor and statement of being "fine" despite having traumatic injuries suggest denial, a defense mechanism where the individual refuses to acknowledge the reality of their situation. This reaction is common in individuals facing overwhelming or distressing events as a way to cope with the emotional impact. Displacement (
B) involves redirecting emotions towards a substitute target, Projection (
C) involves attributing one's own unacceptable feelings to others, and Undoing (
D) involves trying to undo or reverse a previous action to alleviate guilt. In this scenario, denial best fits the client's behavior.
Question 5 of 5
A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 17.2. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A, B, D, E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Providing small meals frequently helps prevent overwhelming the client and supports gradual weight gain.
B: Daily weight monitoring is essential to track the client's progress and assess the effectiveness of the treatment plan.
D: Staying with the client during and after meals helps ensure compliance with the meal plan and prevents purging behaviors.
E: Offering specific privileges for sustained weight gain can serve as positive reinforcement and motivation for the client.
Summary:
C: Allowing the client to choose meals may not always be appropriate as it can lead to food restriction and reinforce maladaptive behaviors.
F, G: Other options not provided in the answer key are not directly related to the management of anorexia nervosa in this context.