ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client about a new prescription for lithium. Which of the following statements should the nurse include in the teaching?

A. Your provider will prescribe a diuretic while you are taking lithium. B. Weight gain is a manifestation of lithium toxicity. C. We will need to check your lithium levels in the next 3 to 5 days. D. Your lithium will be discontinued in 6 months to prevent addiction.

Correct Answer: C

Rationale: Checking lithium levels in 3-5 days (
C) ensures therapeutic range due to its narrow index. Diuretics (
A) aren’t routine, weight gain (
B) isn’t toxicity, and discontinuation (
D) isn’t standard.

Question 2 of 5

A nurse is caring for a client who has schizophrenia. Which of the following statements by the client demonstrates concrete thinking?

A. I am aware that each problem has only one solution. B. I am a prophet of the most high judge. C. The voices tell me that I must avoid large crowds. D. I know that you are trying to poison me and you can't convince me otherwise.

Correct Answer: A

Rationale: Concrete thinking (
A) shows rigid, literal views. Prophet (
B) is delusional, voices (
C) hallucinatory, and poison (
D) paranoid, not concrete.

Question 3 of 5

A nurse is discussing insomnia management techniques with a group of clients who have anxiety disorders. Which of the following techniques mentioned by a client requires further teaching?

A. If I wake up at night, I go to another room and read for 20 minutes.' B. I have stopped taking naps in the afternoon.' C. I watch the television in my bedroom to help me sleep.' D. I eat my evening meal at least 3 hours before I go to bed.'

Correct Answer: C

Rationale: TV in the bedroom (
C) disrupts sleep with light and noise. Reading (
A), no naps (
B), and early meals (
D) aid sleep hygiene.

Question 4 of 5

A nurse is contributing to the plan of care for a newly-admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse plan to include?

A. Limit time for rituals to 30 min each day. B. Provide a stimulating environment for the client. C. Give negative reinforcement for ritualistic behavior. D. Provide a structured schedule of activities for the client.

Correct Answer: D

Rationale: A structured schedule (
D) reduces anxiety and ritual time. Limiting rituals (
A) increases distress, stimulation (
B) triggers, and negative reinforcement (
C) worsens anxiety.

Question 5 of 5

A nurse is collecting data from a middle-aged client whose partner died seven months ago. Which of the following findings indicate that the client is experiencing maladaptive grieving?

A. The client has lost 10 lb. B. The client visits his partner's grave each month. C. The client has been unable to return to work. D. The client has difficulty sleeping

Correct Answer: C

Rationale: Inability to return to work (
C) suggests severe functional impairment. Weight loss (
A) and sleep issues (
D) are common, and grave visits (
B) are normal grieving.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

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