ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: The client begins sleeping more than usual. This is a common manifestation of relapse in schizophrenia. Increased sleep can indicate worsening symptoms, such as withdrawal or increased hallucinations. It is crucial for the family to recognize this early sign to seek timely intervention.
Choices B, C, and D are incorrect because an inability to concentrate, an inflated sense of self, and increased participation in social activities are not typically specific indicators of relapse in schizophrenia. It is important to focus on observable behaviors like changes in sleep patterns for early detection and management of relapse.
Question 2 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: C
Rationale: The correct answer is C. A client with bipolar disorder exhibiting poor impulse control poses a safety risk due to potential impulsive behaviors like self-harm or harm to others. Updating the plan of care to address impulse control can prevent crises. Clients in options A, B, and D also have significant needs, but they do not pose an immediate safety risk like poor impulse control. Option A's fear of gaining weight may need intervention, but it does not directly threaten safety. Option B's tangential associations may indicate a need for medication adjustment but do not pose an imminent safety risk. Option D's memory issues in Alzheimer's may require support but do not directly impact safety.
Question 3 of 5
A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
Correct Answer: D
Rationale: The correct action is to offer to talk with the caregiver about their feelings first. This is crucial as it shows empathy and allows the caregiver to express their emotions. By actively listening and providing emotional support, the case manager can help the caregiver cope with their distress. Discussing relaxation techniques (
A) may be helpful but addressing the emotional needs should come first. Referring to a support group (
B) or consulting social services for counseling (
C) may be beneficial in the long term, but immediate emotional support is necessary.
Therefore, offering to talk with the caregiver (
D) is the most appropriate initial step.
Question 4 of 5
A nurse is caring for a client who is experiencing a situational crisis following the sudden loss of their adolescent child. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Determine if the client has thoughts of harming themselves. This is the first priority in this situation as the client is experiencing a situational crisis and may be at risk for self-harm or suicide. By assessing for suicidal ideation, the nurse can ensure the client's safety and initiate appropriate interventions if needed. This action takes precedence over providing coping skills teaching (
A), identifying support persons (
B), or planning follow-up visits (
C) because the client's immediate safety is the primary concern. It is crucial to address any potential risk of self-harm before proceeding with other interventions.
Question 5 of 5
A nurse is teaching a client who is about to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: A
Rationale: The correct answer is A: St. John's wort. St. John's wort is an herbal supplement that can interact adversely with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), leading to serotonin syndrome. This occurs due to the combination of both substances increasing serotonin levels in the brain excessively, causing symptoms like confusion, agitation, rapid heart rate, and high blood pressure. Soy protein (
B), Echinacea (
C), and Ginkgo biloba (
D) do not have known significant interactions with fluoxetine.