ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has schizophrenia and is prescribed risperidone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Rise slowly from a sitting position. This instruction is important because risperidone can cause orthostatic hypotension, leading to dizziness or fainting when standing up quickly. By rising slowly, the client can avoid sudden drops in blood pressure.
Choice A is incorrect as there is no specific need to avoid direct sunlight with risperidone.
Choice C is incorrect because risperidone can be taken with or without food.
Choice D is incorrect as weight gain, not weight loss, is a common side effect of risperidone in clients with schizophrenia.
Question 2 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.
Question 3 of 5
A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts for the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale:
Correct Answer: B. Report suspected abuse to child protective services.
Rationale: The nurse should prioritize the safety and well-being of the child. Reporting suspected abuse to child protective services is the first step in ensuring the child's protection from potential harm. It is crucial to involve the appropriate authorities to investigate further and intervene if necessary to safeguard the child's welfare.
Summary of Other
Choices:
A: Requesting the parent to leave the room while interviewing the child may be necessary for obtaining accurate information, but ensuring the child's safety takes precedence.
C: Asking the child how the injury occurred can be important for gathering information, but immediate action to protect the child is crucial.
D: Determining the immediate safety needs of the child is important, but reporting suspected abuse is the primary action to address potential harm.
Question 4 of 5
A nurse is reviewing laboratory findings for a client who has been taking lithium for 6 months. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale:
Correct Answer: C (Creatinine 1.5 mg/dL)
Rationale:
1. Creatinine level of 1.5 mg/dL indicates potential kidney dysfunction due to long-term lithium use.
2. Lithium is excreted by the kidneys, and elevated creatinine suggests impaired renal function, which can lead to lithium toxicity.
3. Reporting this finding is crucial to prevent serious complications such as lithium toxicity and renal damage.
Incorrect
Choices:
A: Lithium level 0.8 mEq/L - This level is within the therapeutic range for lithium.
B: Sodium 130 mEq/L - Mild hyponatremia is common with lithium use and may not require immediate action.
D: WBC 8,000/mm³ - Normal white blood cell count, not directly related to lithium therapy.
Question 5 of 5
A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Self-mutilation. Individuals with borderline personality disorder often engage in self-harming behaviors as a way to cope with intense emotional distress. This behavior is a common symptom of the disorder and requires close monitoring and intervention by healthcare providers.
Choice B, pacing back and forth, is more commonly associated with anxiety disorders rather than borderline personality disorder.
Choice C, preoccupation with details, is more indicative of obsessive-compulsive disorder.
Choice D, disorganized speech, is a symptom often seen in schizophrenia rather than borderline personality disorder.
Therefore, the most likely expectation for a client with borderline personality disorder is self-mutilation due to the nature of the disorder and its associated symptoms.