ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: B
Rationale: The correct answer is B: Snap a rubber band on your wrist when you think about checking the locks. This is an effective application of the thought stopping technique, as the physical sensation of snapping the rubber band serves as a distraction and helps interrupt the obsessive thought pattern. Keeping a journal (choice
A) does not directly address the behavior in the moment. Asking a family member for help (choice
C) does not empower the client to manage their own behavior. Focusing on abdominal breathing (choice
D) may be helpful for relaxation but does not directly address the obsessive thought.
Question 2 of 5
A nurse in a psychiatric unit is providing discharge instructions to a client who has schizophrenia and a new prescription for clozapine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expect to have an increased risk of infection. Clozapine is an atypical antipsychotic medication known to suppress the immune system, leading to an increased risk of infections such as pneumonia. This instruction is crucial for the client's safety to monitor for signs of infection and seek medical attention promptly.
Choice A is incorrect as getting up quickly can lead to orthostatic hypotension, a common side effect of clozapine.
Choice C is irrelevant to clozapine use.
Choice D is incorrect as adequate fluid intake is essential to prevent constipation, a common side effect of clozapine.
Question 3 of 5
A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because benztropine is commonly used to treat extrapyramidal side effects (EPS) caused by antipsychotic medications, such as tremors, muscle stiffness, and restlessness. By including this in the teaching, the nurse is providing valuable information on how the medication works to address these side effects.
Choices B, C, and D are incorrect because benztropine is not used to treat depression, hallucinations, or tachycardia in clients with schizophrenia. Benztropine's main purpose is to manage EPS specifically.
Question 4 of 5
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?
Correct Answer: D
Rationale: The correct answer is D: Decrease the number of verbal outbursts. This goal is appropriate for a client with antisocial personality disorder as it aims to address a specific behavioral symptom common in this population, promoting a more positive and effective interaction with others. Verbal outbursts can lead to conflict and negative consequences for the client, so reducing them can improve their social functioning.
Choice A (Use projection during group therapy) is incorrect because encouraging projection can exacerbate the client's tendency to blame others for their actions, reinforcing maladaptive behaviors.
Choice B (Increase self-esteem) is not the most relevant goal for addressing antisocial behavior specifically.
Choice C (Use bargaining skills for behavioral consequences) may not be effective as clients with antisocial personality disorder often have difficulty adhering to agreements and may manipulate situations for personal gain.
Question 5 of 5
A nurse is assessing a client who requires bupropion for smoking cessation. Which of the following findings in the client’s history should the nurse recognize as a contraindication for taking this medication?
Correct Answer: A
Rationale: The correct answer is A: Seizures. Bupropion is contraindicated in clients with a history of seizures due to its potential to lower the seizure threshold. Seizures can be exacerbated by bupropion, increasing the risk of adverse effects. Anemia (
B), migraines (
C), and asthma (
D) are not contraindications for bupropion use. Anemia and migraines are not directly affected by bupropion, while asthma may even benefit from smoking cessation.