ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Lithium is excreted by the kidneys, and dehydration from excessive sweating during running can lead to decreased kidney function.
2. Running 4 miles outdoors every afternoon increases the risk of dehydration, which can decrease lithium clearance and increase its concentration in the blood.
3. Higher lithium levels due to dehydration can lead to lithium toxicity, causing symptoms such as nausea, vomiting, diarrhea, tremors, confusion, and potentially life-threatening complications.
Summary:
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Choice B (drinking 2 liters of liquids daily) is actually beneficial as adequate hydration is essential for kidney function and lithium excretion.
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Choice C (eating 2-3 grams of sodium-containing foods daily) is not directly related to lithium toxicity.
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Choice D (eating foods high in tyramine) is unrelated to lithium toxicity and is more relevant in the context of MAOIs.
- The correct answer is A, as excessive sweating during running can lead to dehydration, impairing
Question 2 of 5
A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me all the time, and they are trying to poison my food." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You seem to be having very frightening thoughts." This response acknowledges the client's feelings without denying their beliefs. It shows empathy and validates the client's experience, promoting trust and rapport. Answer A is dismissive and may lead to defensiveness. Answer C may come off as confrontational. Answer D may encourage the client to elaborate on paranoid beliefs. Overall, choice B is the most therapeutic and supportive response in this situation.
Question 3 of 5
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Correct Answer: A
Rationale: Haloperidol can cause QT prolongation, increasing the risk of dysrhythmias.
Question 4 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism. Thyroid function tests can help diagnose this condition. Pancreatitis (
A), cholecystitis (
B), and tuberculosis (
C) are not typically associated with major depressive episodes. The nurse should focus on ruling out medical conditions that are more likely to cause mood disturbances.
Therefore, hypothyroidism is the most appropriate condition to investigate in this scenario.
Question 5 of 5
A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?
Correct Answer: D
Rationale: Secondary intervention involves direct care during a suicide crisis, such as life-saving measures.