ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct medications for treating bipolar disorder are Lithium, Carbamazepine, and Valproate. Lithium is a mood stabilizer commonly used to manage manic episodes. Carbamazepine and Valproate are also mood stabilizers effective in managing mood swings. Paroxetine is an antidepressant commonly used for depression and anxiety disorders, not specifically for bipolar disorder. Donepezil is used for Alzheimer's disease, not bipolar disorder. In summary, A, B, and C are the correct answers because they are all mood stabilizers commonly prescribed for bipolar disorder, while D and E are not indicated for this condition.
Question 2 of 5
A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?
Correct Answer: B
Rationale: The correct answer is B: A client who has been taking amitriptyline for 3 months for depression. Group therapy is helpful for individuals with similar experiences, such as depression. This client is stable on medication, making them suitable for group therapy.
Choice A should be avoided as psychotic behavior may disrupt the group.
Choice C is inappropriate due to the client's intoxication.
Choice D is not ideal as the client is in an acute state.
Question 3 of 5
A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, 'I am really concerned about my husband.' Which of the following is a therapeutic nursing response?
Correct Answer: A
Rationale: The correct answer is A: "Tell me what is concerning you." This response shows empathy, active listening, and encourages open communication. It acknowledges the spouse's feelings and invites them to share their concerns, fostering a therapeutic nurse-client relationship. Option B is incorrect as it dismisses the spouse's emotions and provides premature reassurance. Option C assumes the husband is the source of the spouse's distress, potentially causing conflict. Option D focuses on general advice rather than addressing the spouse's specific concerns.
Question 4 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: C
Rationale: The correct initial action for the nurse to take is choice C: Talk to the client and identify the specific limits that are required of the client's behavior. This is the most appropriate response because it addresses the root cause of the issue - the client's disruptive behavior. By discussing with the client and setting clear boundaries, the nurse can help the client understand the consequences of their actions and work towards improving their behavior.
Choice A: Discussing the problem in a community meeting may embarrass the client and could lead to further disruptive behaviors.
Choice B: Escorting the client to her room each time she socializes is not addressing the underlying issue and may not be an effective long-term solution.
Choice D: Telling other clients to ignore the lies does not address the disruptive behavior and may not be a sustainable solution in managing the situation.
In summary, choice C is the best initial action as it directly addresses the disruptive behavior and helps the client understand the expectations for their behavior.
Question 5 of 5
A nurse is assessing a client who has depression. Which of the following findings are risk factors of depression? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answer includes low self-esteem, irritability, chronic pain, and insomnia as risk factors for depression. Low self-esteem can lead to feelings of worthlessness. Irritability can indicate emotional distress. Chronic pain can contribute to a sense of hopelessness. Insomnia disrupts sleep patterns and affects mood. Euphoria is not a risk factor for depression, as it denotes an elevated mood. Summarily, choices E, F, and G are incorrect because euphoria does not align with depressive symptoms, and the remaining options do not directly relate to known risk factors for depression.