ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: B
Rationale: The correct answer is B: A client who has conversion disorder. Clients with conversion disorder may experience sensory impairments such as blindness or paralysis that cannot be explained by medical conditions. The nurse should assess for risks related to these impairments to ensure the client's safety.
Incorrect choices:
A: A client with narcissistic personality disorder does not typically present with sensory impairments.
C: A client with mild anxiety disorder may have heightened sensory perception but not necessarily sensory impairments.
D: A client with severe obsessive-compulsive disorder may have sensory sensitivities but not impairments like those seen in conversion disorder.
Question 2 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You will need to have your blood drawn." This is because lithium is a medication that requires monitoring of blood levels to prevent toxicity. Lethargy, muscle weakness, and blurred vision are common signs of lithium toxicity. By regularly monitoring blood levels, the nurse can ensure the client is within the therapeutic range and adjust the dosage if needed.
Choice A is incorrect because the symptoms are indicative of toxicity and may not improve on their own.
Choice B is incorrect as continuing the medication without addressing the toxicity can worsen the client's condition.
Choice C is incorrect as decreasing sodium intake is not directly related to managing lithium toxicity.
Question 3 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You will need to have your blood drawn." This response is correct because lithium is a medication that requires monitoring of blood levels due to its narrow therapeutic range. Lethargy, muscle weakness, and blurred vision are symptoms of lithium toxicity, which can occur if the blood levels of lithium become too high. By having the client's blood drawn, the nurse can assess the lithium levels and make necessary adjustments to the dosage to prevent further toxicity.
Incorrect Responses:
A: "These symptoms will improve over time." - This is incorrect because the symptoms described are indicative of lithium toxicity, which requires immediate attention.
B: "Continue the medication as prescribed." - This is incorrect because if the client is experiencing symptoms of toxicity, continuing the medication without monitoring could lead to further complications.
C: "You should decrease your intake of sodium." - This is incorrect as it does not address the issue of lithium toxicity. Sodium intake is not directly related to lithium toxicity.
Question 4 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate fall precautions for the client. Lorazepam is a benzodiazepine that can cause sedation and drowsiness, increasing the risk of falls. Fall precautions should be implemented to ensure the client's safety.
Choice A is incorrect because repeating the dose can lead to overdose.
Choice C is incorrect as lorazepam does not typically cause ringing in the ears.
Choice D is inappropriate and unethical unless absolutely necessary for the client's safety, which is not indicated in this scenario.
Question 5 of 5
A nurse is providing teaching to the partner of a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following pieces of information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should administer the medication immediately before bedtime." Donepezil is typically prescribed to be taken at bedtime because it can cause gastrointestinal side effects such as nausea and vomiting, which are more likely to occur if taken during the day. By taking it at bedtime, the individual may sleep through these side effects.
Choice B is incorrect because the dose of donepezil is not decreased as the disease improves; it is typically a long-term treatment to manage symptoms.
Choice C is incorrect because donepezil does not stop the progression of Alzheimer's disease, but rather helps to manage symptoms.
Choice D is incorrect because donepezil does not decrease the risk of falls; in fact, it can cause side effects that may increase the risk of falls.