ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. What should the nurse respond?

A. You really should work hard to stay on the schedule we establish here.' B. I wouldn’t worry about what you’ve done in the past.' C. You’ll do just fine this time.' D. Why do you find it difficult to take your medications if they improve your condition?'

Correct Answer: D

Rationale: Exploring difficulties (
D) identifies barriers to tailor solutions. Effort (
A) dismisses, past (
B) and fine (
C) offer false reassurance.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a history of depression about a new prescription for fluoxetine. Which statement by the client indicates understanding of the teaching?

A. I will increase my water intake up to 8 glasses a day.' B. I may experience sedation and sleepiness.' C. I will notice an improvement in my sex drive.' D. I should expect to feel better within 3 to 4 days.'

Correct Answer: B

Rationale: Sedation (
B) is a common fluoxetine side effect, showing understanding. Water (
A) isn’t specific, sex drive (
C) may decrease, and improvement takes weeks (
D).

Question 3 of 5

A nurse is collecting data from a client who has bipolar disorder with mania. Which finding is the nurse's priority?

A. The client gives personal items and money away to other clients. B. The client is hostile and sarcastic towards the staff. C. The client paces in the hallway during the day and most of the night. D. The client demonstrates flight of ideas.

Correct Answer: C

Rationale: Pacing day and night (
C) risks exhaustion and dehydration, a physical priority. Giving items (
A), hostility (
B), and flight of ideas (
D) are less immediate.

Question 4 of 5

A nurse is caring for a client who is experiencing auditory hallucinations. What should the nurse say first?

A. I know you hear the voices, but I do not.' B. How often do you hear the voices?' C. What are the voices telling you?' D. The voices are part of your illness.'

Correct Answer: C

Rationale: Asking content (
C) assesses safety risks first. Acknowledging (
A) and frequency (
B) follow, and illness explanation (
D) may dismiss.

Question 5 of 5

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, 'I’m being kept in this prison against my will. Please try to get me out.' Which of the following responses should the nurse make?

A. We are here to help you and give you the care that you need right now.' B. You feel that you don’t belong here?' C. Why do you feel that you need to leave?' D. Try to take some deep breaths and I’m sure you’ll feel better.'

Correct Answer: B

Rationale: Reflecting feelings (
B) validates and opens dialogue. Help (
A) dismisses, why (
C) confronts, and breathing (
D) minimizes.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

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ATI LPN

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