ATI RN
ATI RN Mental Health 2023 Exam 2 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: C
Rationale: The correct answer is C: Blood glucose 256 mg/dL (74 to 106 mg/dL). Elevated blood glucose levels can be a side effect of risperidone, an atypical antipsychotic medication. Notify the provider to assess for potential hyperglycemia, which can lead to serious complications like diabetic ketoacidosis.
A, B, and D are within normal ranges. A slightly low or high sodium level, WBC count, or platelet count are not typically concerning in this case.
Question 2 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. This is because Varenicline is a medication specifically indicated for smoking cessation. It works by reducing the pleasurable effects of nicotine and decreasing cravings. Naltrexone (
A) is used for alcohol and opioid dependence, not smoking cessation. Donepezil (
B) is used to treat Alzheimer's disease. Disulfiram (
D) is used to deter alcohol consumption by causing unpleasant effects when alcohol is ingested. Hence, the nurse should expect the provider to prescribe Varenicline to help the client quit smoking effectively.
Question 3 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Obtain a prescription for seclusion within 30 minutes. This action is crucial as seclusion should only be implemented with a physician's order to ensure the client's safety and rights are protected. The nurse must promptly obtain this order to ensure the client's needs are met in a timely manner.
Choice A is incorrect because documenting the client's behavior every 60 minutes does not address the immediate need for a physician's order for seclusion.
Choice B is incorrect as there is no specific time limit for seclusion, and it should only be ended with a physician's approval.
Choice D is incorrect as monitoring vital signs every 4 hours is important but not as urgent as obtaining the seclusion prescription.
Question 4 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: A
Rationale: The correct answer is A: The client is constantly talking. In bipolar disorder, during the manic phase, individuals often exhibit rapid speech, impulsivity, and excessive talking. This behavior is a hallmark of mania. The other choices are incorrect because expressing feelings of inferiority (
B) is more indicative of depression, memory loss (
C) could be a symptom of various conditions but not specific to mania, and sleeping over 10 hours a day (
D) is more characteristic of depression or sedation from medication.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because improving communication of needs is a key therapeutic goal for clients with borderline personality disorder. Effective communication can help reduce impulsive behaviors and enhance interpersonal relationships. Verbalizing improved mood (
A) may not address the underlying emotional dysregulation. Attending to personal hygiene (
B) is important but may not directly address the core issues of the disorder. Reporting a decrease in hallucinations (
D) is more relevant to psychotic disorders. Other choices are not provided, but focusing on communication skills is crucial for managing this disorder effectively.