ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results on an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hgb 10 g/dL. In anorexia nervosa, there is severe malnutrition leading to decreased hemoglobin levels (anemia) due to inadequate iron intake. This can result in fatigue, weakness, and shortness of breath. Blood glucose levels (choice
A) are usually normal in anorexia nervosa as the body tries to maintain glucose levels for energy. T4 levels (choice
B) are typically low in anorexia nervosa due to a decrease in thyroid function. Potassium levels (choice
C) are usually low in anorexia nervosa due to malnutrition and purging behaviors.
Therefore, Hgb 10 g/dL is the most expected finding in an adolescent with anorexia nervosa.
Question 2 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. This medication is a benzodiazepine used to manage alcohol withdrawal symptoms by acting as a sedative and reducing anxiety and agitation. It helps prevent seizures and delirium tremens. Methadone (
A) is used to treat opioid addiction, not alcohol withdrawal. Naltrexone (
C) is used to prevent relapse in alcohol dependence. Disulfiram (
D) is used as a deterrent to drinking alcohol by causing unpleasant reactions.
Question 3 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and tension. The individual may find it difficult to relax or sit still. Increased energy (choice
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued. Euphoric mood (choice
C) is not likely, as anxiety tends to cause distress. Depersonalization (choice
D) is more commonly associated with dissociative disorders, not generalized anxiety disorder.
Question 4 of 5
A nurse in a mental health facility is assessing a client who has schizophrenia. The nurse should document which of the following as a positive symptom?
Correct Answer: C
Rationale: The correct answer is C: Delusions. Positive symptoms refer to added behaviors or experiences not typically present in individuals without schizophrenia. Delusions are false beliefs that are not based on reality, which are considered a positive symptom. Social withdrawal (
A) is a negative symptom, involving a reduction or absence of normal behaviors. Flat affect (
B) is also a negative symptom, characterized by a lack of emotional expression. Lack of motivation (
D) is another negative symptom, reflecting reduced ability to initiate and sustain goal-directed activities.
Therefore, delusions (
C) align with positive symptoms of schizophrenia, making it the correct choice.
Question 5 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.