ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the caregiver of a client who has schizophrenia. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: "I should reinforce reality when my loved one is experiencing delusions."
Rationale:
1. Reinforcing reality helps the client distinguish between what is real and what is not, reducing distress.
2. It promotes a sense of safety and trust between the caregiver and the client.
3. It encourages communication and collaboration in managing symptoms.
Summary of Incorrect
Choices:
B: Discouraging expression of feelings can lead to emotional suppression and worsen symptoms.
C: Avoiding talking about hallucinations can create a barrier to understanding the client's experiences.
D: Encouraging isolation can increase feelings of loneliness and exacerbate symptoms.
Question 2 of 5
A nurse in an inpatient mental health facility is planning care for a client who has schizophrenia and is experiencing delusions. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to focus on reality-based topics. This intervention is important to help the client differentiate between delusions and reality, promoting insight and coping skills. By redirecting the client's focus to reality-based topics, the nurse can help decrease the intensity of delusions and foster a connection to the present moment.
Choices B and C would reinforce the delusions, exacerbating the client's symptoms.
Choice D may provide temporary relief but does not address the underlying issue of delusions.
Question 3 of 5
A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: High fever. This is the priority finding because it may indicate a potentially life-threatening condition called neuroleptic malignant syndrome (NMS), a rare but serious side effect of haloperidol. NMS is characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction. Prompt recognition and treatment are crucial to prevent complications.
B: Insomnia is a common side effect of haloperidol but is not an immediate concern compared to a high fever indicating NMS.
C: Urinary hesitancy is not directly related to haloperidol use and does not pose an immediate threat.
D: Headache is a common side effect of haloperidol but is less urgent compared to a high fever suggesting NMS.
Question 4 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: C
Rationale:
Correct Answer: C - "I don’t feel anything but numbness anymore"
Rationale: This statement indicates a persistent emotional numbness, which is a common symptom of clinical depression. Numbness reflects a lack of emotional responsiveness and can be a sign of severe depression. Reporting this to the provider is crucial for further evaluation and intervention.
Incorrect
Choices:
A: "I don’t know how I could cope if I didn’t have my family’s support" - While expressing dependency on family support is understandable during grief, it does not necessarily indicate clinical depression.
B: "It’ll be a long time before I’m happy again" - This statement reflects a realistic view of the grieving process and does not specifically point towards clinical depression.
D: "I feel like I’m angry at the whole world right now" - Anger is a common emotion experienced during grief and does not solely indicate clinical depression.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and takes clozapine. Which of the following findings is a priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Sore throat. With clozapine, a potential side effect is agranulocytosis, a severe drop in white blood cells. A sore throat could indicate an infection due to low white blood cells, which can be life-threatening. Reporting this promptly to the provider allows for timely intervention. A: Nausea is a common side effect of clozapine but not an immediate concern. B: A random blood glucose level of 130 mg/dL is within normal range and not directly related to clozapine. C: A heart rate of 104 per minute may be elevated but not specifically associated with clozapine use.