ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the parents of a child who has ADHD and a prescription for methylphenidate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Monitor the child's weight frequently. This instruction is crucial because methylphenidate, a stimulant medication commonly used to treat ADHD, can potentially cause appetite suppression and weight loss in children. By monitoring the child's weight regularly, the parents can ensure the medication is not negatively impacting their child's growth and development.
A: Administering the medication at bedtime is not recommended as it can interfere with the child's sleep.
C: Giving the medication with milk is not necessary for methylphenidate administration.
D: Discontinuing the medication if insomnia occurs should be discussed with the healthcare provider first before making any changes to the treatment plan.
By choosing option B, the parents can actively participate in their child's care and ensure the medication is being managed effectively.
Question 2 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B. Providing frequent rest periods for a client experiencing mania in bipolar disorder is essential to prevent exhaustion and promote relaxation. Rest periods help in reducing stimulation and preventing overactivity, which can exacerbate manic symptoms. Encouraging group activities (choice
A) may increase excitement and energy levels. Offering high-calorie snacks (choice
C) can lead to hyperactivity and disrupt sleep patterns. Allowing unlimited physical activity (choice
D) can further escalate manic symptoms and risk of injury.
Question 3 of 5
A nurse is providing teaching to a client who has obsessive-compulsive disorder and engages in excessive handwashing. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Allow additional time for rituals. This is important because abruptly stopping the ritual behavior can increase the client's anxiety. By allowing additional time, the nurse can gradually work with the client to reduce the frequency and duration of the rituals in a controlled manner.
Choice A is incorrect as abruptly stopping can be harmful.
Choice C is incorrect as sudden limitation can increase anxiety.
Choice D is incorrect as ignoring compulsions can worsen the client's condition.
Question 4 of 5
A nurse is planning care for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Monitor for seizures. During alcohol withdrawal, the client is at risk for seizures due to decreased levels of GABA and increased levels of glutamate in the brain. Monitoring for seizures allows for early detection and prompt intervention. Administering disulfiram (
A) is used for alcohol aversion therapy but is not appropriate during acute withdrawal. Restricting fluid intake (
C) can lead to dehydration, exacerbating withdrawal symptoms. Providing a high-protein diet (
D) is important for overall nutrition but does not specifically address the risk of seizures during withdrawal.
Question 5 of 5
A nurse in a mental health facility is assessing a client who has schizophrenia. The nurse should document which of the following as a positive symptom?
Correct Answer: C
Rationale: The correct answer is C: Delusions. Positive symptoms refer to added behaviors or experiences not typically present in individuals without schizophrenia. Delusions are false beliefs that are not based on reality, which are considered a positive symptom. Social withdrawal (
A) is a negative symptom, involving a reduction or absence of normal behaviors. Flat affect (
B) is also a negative symptom, characterized by a lack of emotional expression. Lack of motivation (
D) is another negative symptom, reflecting reduced ability to initiate and sustain goal-directed activities.
Therefore, delusions (
C) align with positive symptoms of schizophrenia, making it the correct choice.