ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer’s disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Position the mattress on the floor. Placing the mattress on the floor reduces the risk of injury in case the client falls out of bed while wandering at night. This instruction prioritizes safety and minimizes the potential harm from falls. Installing sensor devices on outside doors (
B) may help monitor the client's movements but does not directly address fall prevention. Encouraging physical activity prior to bedtime (
C) may increase restlessness and exacerbate wandering behavior. Putting locks at the top of doors (
D) may pose a safety risk in case of emergencies and hinder the client's ability to freely move within the home.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and is prescribed sertraline. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Avoid consuming grapefruit juice. Grapefruit juice can inhibit the metabolism of sertraline, leading to increased levels of the medication in the body, potentially causing side effects or toxicity. It is important for the nurse to instruct the client to avoid grapefruit juice to ensure the medication's effectiveness and safety. Taking the medication at bedtime (choice
A) is not specifically indicated for sertraline. Expecting results within 1 to 2 days (choice
B) is unrealistic as antidepressants like sertraline may take weeks to show therapeutic effects. Stopping the medication once symptoms improve (choice
D) is dangerous and can lead to relapse or withdrawal symptoms.
Question 3 of 5
A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer?
Correct Answer: A
Rationale:
To calculate the correct dose, use the formula: Desired dose (25 mg) / Available dose (10 mg) x Volume available (5 mL).
Therefore, 25 mg / 10 mg x 5 mL = 12.5 mL. The correct answer is A (12.5 mL).
Choice B (10 mL) is incorrect as it does not account for the higher dose needed.
Choices C (15 mL) and D (5 mL) are incorrect as they do not follow the correct calculation formula.
Question 4 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The client is demonstrating the defense mechanism of Compensation. Compensation is when a person tries to make up for a perceived weakness by emphasizing a desirable trait or attribute. In this case, the client is compensating for feeling inadequate or misunderstood by becoming angry and defensive, which can be seen as an attempt to assert power or control. Rationalization (
A) is creating logical explanations to justify behavior; Denial (
B) is refusing to accept reality; Displacement (
D) is redirecting emotions from the actual source to a less threatening target. These defense mechanisms do not align with the client's behavior in the scenario.
Question 5 of 5
A nurse is caring for a client who has posttraumatic stress disorder related to military service. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assign the same staff to care for the client each day. This consistency helps establish trust and familiarity, promoting a sense of safety for the client with PTSD. It also aids in continuity of care and allows the client to build a therapeutic relationship with the staff. This approach can enhance the client's comfort level and reduce anxiety. Encouraging the client to suppress feelings (
A) is harmful as it can lead to further emotional distress. Addressing the client authoritatively (
C) may trigger feelings of threat or fear, worsening symptoms. Limiting time spent with the client (
D) can disrupt the therapeutic bond and hinder progress.