ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical records for clients. Which of the following findings should the nurse identify as a risk factor for violent behavior?
Correct Answer: B
Rationale: The correct answer is B: Alcohol intoxication. Alcohol intoxication can impair judgment, lower inhibitions, and increase aggression, leading to a higher risk of violent behavior. Schizoid personality disorder (
A) is characterized by social detachment, not necessarily violence. Dysthymic disorder (
C) involves chronic low mood but not a direct risk for violent behavior. Long-term isolation (
D) may contribute to mental health issues but does not directly indicate violent behavior.
Question 2 of 5
A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts for the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale:
Correct
Answer: B. Report suspected abuse to child protective services.
Rationale: Reporting suspected abuse to child protective services is the first step to ensure the safety and well-being of the child. In cases of conflicting stories from the parent and the child, it is crucial to prioritize the child's safety. Child protective services can investigate further to determine the true cause of the injury and provide necessary support and protection for the child.
Summary of other choices:
A: Requesting the parent to leave the room may be necessary for further assessment, but ensuring the child's safety is the priority.
C: Asking the child how the injury occurred is important but should come after ensuring the child's immediate safety.
D: Determining the immediate safety needs of the child is crucial, but reporting suspected abuse takes precedence to address potential harm.
Question 3 of 5
A nurse is assessing a client who requires bupropion for smoking cessation. Which of the following findings in the client’s history should the nurse recognize as a contraindication for taking this medication?
Correct Answer: A
Rationale: The correct answer is A: Seizures. Bupropion is contraindicated in individuals with a history of seizures due to the potential to lower the seizure threshold. This can increase the risk of seizures occurring. Anemia (
B), migraines (
C), and asthma (
D) are not contraindications for taking bupropion. Anemia and migraines are not directly related to the use of bupropion, and in some cases, bupropion may even help with migraines. Asthma, while a consideration, is not a contraindication for taking bupropion.
Question 4 of 5
A nurse is caring for a client with Alzheimer’s disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. Using symbols to assist the client in locating rooms is beneficial for a client with Alzheimer's as they may have difficulty remembering locations. Symbols can serve as visual cues to help them navigate and reduce confusion. A: Seating the client at a dining table with multiple residents may be overwhelming and lead to agitation. B: Providing several meal choices can be confusing and increase indecision for someone with Alzheimer's. C: Giving complete directions all at once may be too much information for the client to process. Instead, simple and clear instructions are more effective.
Question 5 of 5
A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the following findings should the nurse document as an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C: Contractions of the jaw. Thioridazine is an antipsychotic medication known to cause extrapyramidal side effects such as dystonia, which can manifest as contractions of the jaw. Anhedonia (
A) is the inability to experience pleasure, not a side effect of thioridazine. Waxy flexibility (
B) is a symptom of catatonia, not a side effect of thioridazine. Incongruent affect (
D) refers to a mismatch between expression and emotion, not a side effect of thioridazine.