ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder?
Correct Answer: B
Rationale: The correct answer is B: "I will provide my mother with detailed instructions about how to perform self-care." This statement indicates an understanding of obsessive-compulsive disorder as individuals with OCD often struggle with performing routine tasks without detailed instructions. Providing clear instructions can help the individual feel more in control and reduce anxiety.
A: Limiting clothing choices may worsen anxiety and reinforce compulsive behaviors.
C: Waking the mother up to check on her feeds into the need for reassurance, which can perpetuate OCD symptoms.
D: Discouraging the mother from talking about physical complaints is not directly related to managing OCD symptoms.
In summary,
Choice B is correct as it addresses the need for detailed instructions to support the mother in managing her self-care tasks, which aligns with the challenges faced by individuals with OCD.
Question 2 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 3 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 4 of 5
A nurse is developing a plan of care for a client who has post-traumatic stress disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to use relaxation techniques. This intervention is important for managing symptoms of post-traumatic stress disorder (PTS
D) such as anxiety and hyperarousal. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and guided imagery, can help the client cope with stress and regulate their emotions. Encouraging the client to use these techniques promotes self-soothing and enhances the client's ability to manage distressing symptoms.
Choices A, B, and D are incorrect because they can be harmful and counterproductive in treating PTSD. Encouraging the client to suppress traumatic memories or discouraging discussion of the trauma can worsen symptoms and prevent healing. Limiting the client's participation in activities can also hinder their recovery and lead to social isolation. It is essential to focus on evidence-based interventions like relaxation techniques to support the client's mental health and well-being.
Question 5 of 5
A nurse in a community clinic is planning an educational session for a group of clients. Which of the following strategies should the nurse use when teaching about stress management?
Correct Answer: B
Rationale: The correct answer is B: Encourage discussion and practice of coping skills. This strategy is effective because it engages clients actively in their learning process, allowing for exploration and application of coping mechanisms tailored to their individual needs. By encouraging discussion, the nurse can assess clients' understanding and provide personalized support. Options A, C, and D are incorrect because lengthy lectures may not be engaging or effective for all clients, discouraging emotions can hinder the therapeutic process, and teaching a one-size-fits-all technique may not address the diverse needs of the group.