ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results of a client who is taking lithium. Which of the following values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 1.5 mg/dL. This value should be reported to the provider because lithium can affect kidney function, leading to renal impairment. Creatinine is a marker of kidney function, and an elevated level could indicate potential kidney damage from lithium. The other choices (A, B,
D) are within normal ranges and not directly related to lithium therapy monitoring. Sodium and potassium levels may be affected by other factors such as diet or hydration status.
Therefore, the nurse should prioritize reporting the creatinine level to ensure the provider can assess the client's renal function in relation to lithium therapy.
Question 2 of 5
A nurse is developing a plan of care for a client who has post-traumatic stress disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to use relaxation techniques. This intervention is important for managing symptoms of post-traumatic stress disorder (PTS
D) such as anxiety and hyperarousal. Relaxation techniques, such as deep breathing, progressive muscle relaxation, and guided imagery, can help the client cope with stress and regulate their emotions. Encouraging the client to use these techniques promotes self-soothing and enhances the client's ability to manage distressing symptoms.
Choices A, B, and D are incorrect because they can be harmful and counterproductive in treating PTSD. Encouraging the client to suppress traumatic memories or discouraging discussion of the trauma can worsen symptoms and prevent healing. Limiting the client's participation in activities can also hinder their recovery and lead to social isolation. It is essential to focus on evidence-based interventions like relaxation techniques to support the client's mental health and well-being.
Question 3 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Provide frequent rest periods. During manic episodes, clients with bipolar disorder often exhibit high energy levels. By providing frequent rest periods, the nurse can help the client conserve energy and prevent exhaustion. It also promotes relaxation and reduces stimulation, which can help in managing manic symptoms.
Choice B: Discouraging social interaction is incorrect because social support is important for clients with bipolar disorder. Isolating the client may worsen their symptoms.
Choice C: Allowing unlimited physical activity is incorrect as it may exacerbate manic behaviors and increase the risk of injury.
Choice D: Limiting the client's choices is incorrect because it may lead to feelings of frustration and agitation, which can escalate manic symptoms.
Therefore, providing frequent rest periods is the most appropriate intervention to help manage mania in a client with bipolar disorder.
Question 4 of 5
A nurse is caring for a client who has obsessive-compulsive disorder and engages in repeated handwashing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Allow the client additional time to complete rituals. This approach aligns with the principles of therapeutic communication and understanding of OCD. By allowing the client additional time, the nurse acknowledges and respects the client's struggle with compulsions without reinforcing or challenging the behavior. Encouraging the client to stop washing hands (
A) can be counterproductive as it may increase anxiety and resistance. Setting strict time limits (
C) may intensify distress and lead to potential non-compliance. Ignoring the client's behavior (
D) can create feelings of abandonment and hinder the therapeutic relationship.
Question 5 of 5
A nurse is caring for a client in the emergency department who states she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?
Correct Answer: A
Rationale:
Correct Answer: A. Conduct a pregnancy test.
Rationale: In cases of sexual assault, it is crucial to assess for any risk of pregnancy. This action is time-sensitive, as early detection allows for prompt intervention. Pregnancy testing also enables the nurse to provide appropriate support and options to the client.
Summary of Other
Choices:
B: Requesting a mental health consultation may be important, but immediate physical needs, such as pregnancy risk, should be addressed first.
C: Providing a trained advocate is beneficial, but assessing for pregnancy is a more urgent priority.
D: Offering prophylactic medication for STIs is important, but assessing for pregnancy takes precedence due to its time-sensitive nature.