ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching?

A. I will contact my provider if I have difficulty urinating.' B. I might notice an increased frequency of my menstrual cycle.' C. These medications might cause breast tissue to atrophy.' D. I am at a decreased risk for infection while taking these medications.'

Correct Answer: A

Rationale: Chlorpromazine’s anticholinergic effects can cause urinary retention, requiring prompt reporting (
A). Menstrual changes (
B), breast atrophy (
C), and reduced infection risk (
D) are not typical effects.

Question 2 of 5

A nurse is reinforcing teaching with a client about electroconvulsive therapy (ECT). Which of the following information should the nurse include in the teaching?

A. You will remain asleep for about 2 hours after the procedure.' B. These treatments should cure your depression.' C. You will receive a medication to prevent seizure activity.' D. You might experience some temporary memory loss after the procedure.'

Correct Answer: D

Rationale: Temporary memory loss (
D) is a common ECT side effect to prepare clients for. Sleep lasts 30-60 minutes (
A), ECT isn’t a cure (
B), and muscle relaxants, not anti-seizure drugs (
C), are used.

Question 3 of 5

A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse observes that the client has developed a stooped posture and shuffling gait. The nurse should document these findings as which of the following extrapyramidal side effects of haloperidol?

A. Pseudoparkinsonism B. Acute dystonia C. Akathisia D. Tardive dyskinesias

Correct Answer: A

Rationale: Pseudoparkinsonism (
A) mimics Parkinson’s with stooped posture and shuffling gait due to dopamine blockade. Dystonia (
B) causes muscle spasms, akathisia (
C) restlessness, and tardive dyskinesia (
D) involuntary movements.

Question 4 of 5

A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and nausea. Which of the following actions should the nurse take?

A. Encourage the client to rest with his eyes closed. B. Re-check the client in 4 hours. C. Administer the next dose as prescribed. D. Withhold the medication.

Correct Answer: D

Rationale: Blurred vision and nausea suggest lithium toxicity; withholding the dose (
D) prevents worsening. Rest (
A) doesn’t address toxicity, re-checking (
B) delays action, and administering (
C) risks harm.

Question 5 of 5

A nurse is conversing with a client diagnosed with schizophrenia. Suddenly, the client expresses fear, stating, 'I’m scared. Can you hear that? The voices are instructing me to do awful things.' Which of the following responses from the nurse would be suitable?

A. Why do you believe you are hearing voices? B. What are the voices instructing you to do? C. You need to comprehend that there are no voices. D. Are the voices familiar to you?

Correct Answer: B

Rationale: Asking what the voices say (
B) assesses potential harm and validates experience. Why (
A) challenges, denying voices (
C) dismisses, and familiarity (
D) is secondary to safety.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN