ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose 256 mg/dL (74 to 106 mg/dL). This finding is concerning because risperidone, an antipsychotic medication, can cause metabolic side effects such as hyperglycemia. High blood glucose levels can lead to serious complications like diabetic ketoacidosis. The nurse should notify the provider for further evaluation and management.
The other choices (B, C,
D) fall within the normal reference ranges and do not indicate any immediate concerns related to the client's condition or medication.
Therefore, they do not require immediate notification to the provider.
Question 2 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D because participating in solitary activities with a client who has mania is a task that can be safely delegated to an assistive personnel. Solitary activities do not require specialized nursing skills and can help the client manage their symptoms in a therapeutic manner. This task can also promote a sense of independence and self-regulation for the client.
A, B, and C are incorrect choices because they involve providing education, obtaining informed consent, or discussing medication-related information, which require a higher level of knowledge, critical thinking, and communication skills that are typically within the scope of practice of a licensed nurse. Delegating these tasks to an assistive personnel could potentially lead to misunderstandings, errors, or legal implications.
Question 3 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: D
Rationale: The correct answer is D because individuals with severe obsessive-compulsive disorder may experience sensory impairments due to their obsessive thoughts and compulsive behaviors. This can manifest as heightened sensitivity to certain stimuli or a distorted perception of reality. The nurse should assess this client for risks related to these sensory impairments to ensure their safety and well-being.
Choice A (conversion disorder) is incorrect as it is characterized by physical symptoms that are not explained by any underlying medical condition.
Choice B (mild anxiety disorder) is incorrect as sensory impairments are not typically associated with mild anxiety.
Choice C (narcissistic personality disorder) is incorrect as it is a personality disorder characterized by a pattern of grandiosity, need for admiration, and lack of empathy, not sensory impairments.
Question 4 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: The correct answer is C: Varenicline. Varenicline is a medication used to help individuals quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It works by targeting the nicotine receptors in the brain, making smoking less satisfying. Naltrexone (
A) is used for alcohol dependence, not smoking cessation. Disulfiram (
B) is used for alcohol aversion therapy, not smoking cessation. Donepezil (
D) is used for Alzheimer's disease, not smoking cessation.
Therefore, the nurse should expect the provider to prescribe varenicline to help the client quit smoking successfully.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Ask the client what they are hearing. This is the first action the nurse should take to assess the nature and content of the auditory hallucinations. Understanding the hallucinations will help the nurse determine the level of distress the client is experiencing and develop an appropriate care plan.
Choice B: Focusing on reality-based topics may be helpful but should come after assessing the hallucinations to establish rapport and trust with the client.
Choice C: Taking the client for a walk outside may not address the immediate concern of the auditory hallucinations and may not be appropriate without first understanding the hallucinations.
Choice D: Encouraging the client to listen to music may not be helpful if the auditory hallucinations are distressing and could potentially exacerbate the symptoms.