ATI RN
ATI RN Mental Health 2023 III 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: B
Rationale: The correct answer is B: Blood glucose 256 mg/dL (74 to 106 mg/dL). The nurse should notify the provider because this finding indicates hyperglycemia, a potential side effect of risperidone. Risperidone can lead to metabolic changes, including increased blood glucose levels. Hyperglycemia is a serious concern as it can lead to complications such as diabetic ketoacidosis.
Therefore, prompt notification to the provider is crucial for further evaluation and management.
Other choices are within the normal ranges or close to the normal values for WBC count, sodium, and platelets, which do not require immediate provider notification.
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: A
Rationale: The correct answer is A: Participate in solitary activities with a client who has mania. Assistive personnel can engage in activities that provide social interaction and support for clients with mania. This task does not require specialized nursing knowledge or assessment skills. The other choices involve providing education, obtaining consent, or explaining treatment modalities, which should be done by a licensed nurse due to the complexity and potential risks involved. It is important to delegate tasks that align with the assistive personnel's scope of practice and level of training to ensure safe and effective client care.
Question 3 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: B
Rationale: The correct answer is B: The client is constantly talking. In mania, individuals often exhibit rapid speech, talking excessively and rapidly due to racing thoughts. This is a key feature of mania in bipolar disorder. Expressing feelings of inferiority (choice
A) is more indicative of depression. Sleeping over 10 hours a day (choice
C) is more characteristic of depression or sedation from medication. Memory loss (choice
D) can occur in various conditions but is not specific to mania.
Question 4 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C. Improvement in manifestations of depression indicates that electroconvulsive therapy is effective. This is because ECT is primarily used for severe depression that has not responded to other treatments. Improvement in symptoms such as low mood, lack of interest, and hopelessness indicates that the treatment is working.
Choice A is incorrect as ECT is not typically used for treating borderline personality disorder.
Choice B is incorrect as ECT does not reduce seizures, but rather induces controlled seizures in the brain.
Choice D is incorrect as fear of heights is not a targeted symptom for ECT treatment.
Question 5 of 5
A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: D, E
Rationale:
Correct Answer: D, E
Rationale:
1. Talking to the client using short, simple sentences helps in calming the client down as complex information may escalate the situation.
2. Identifying the client's stressors allows the nurse to address the underlying causes of the behavior and provide appropriate support.
Summary:
A: Speaking loudly can escalate the situation further.
B: Standing directly in front may be perceived as confrontational, worsening the behavior.
C: Involving security guards may increase agitation and escalate the situation.
D: Talking using short, simple sentences can help de-escalate and communicate effectively.
E: Identifying stressors helps address root causes and provide appropriate support.