ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?
Correct Answer: B
Rationale: The correct answer is B: A client who is experiencing withdrawal from diazepam. Benzodiazepine withdrawal can precipitate seizures due to sudden discontinuation of the drug. Seizure precautions are necessary to ensure the safety of the client during this period. Option A is incorrect as oxycodone withdrawal does not typically cause seizures. Options C and D are incorrect as low lithium and imipramine levels do not directly indicate a need for seizure precautions.
Question 2 of 5
A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct manifestations for a client with delirium due to sepsis include rapid mood changes, hallucinations, and restlessness. Rapid mood changes are common due to the altered mental state. Hallucinations can occur as a result of the brain's dysfunction. Restlessness is a common behavioral manifestation in delirium. Slow speech (choice
A) is not typically associated with delirium; instead, speech may be rapid or incoherent. Unaltered level of consciousness (choice
D) is incorrect as delirium is characterized by altered consciousness.
Therefore, the correct manifestations for delirium in this scenario are rapid mood changes, hallucinations, and restlessness.
Question 3 of 5
A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
Correct Answer: D
Rationale: The correct answer is D: 'Let's discuss how to get you the help you need.' This response shows empathy, acknowledges the client's feelings, and offers support and collaboration in finding a solution. It promotes open communication and problem-solving.
Choice A suggests medication without exploring the underlying issue.
Choice B dismisses the client's feelings.
Choice C assumes the client has family support without further assessment. Overall, D is the most therapeutic response as it focuses on addressing the client's needs and fostering a collaborative approach to finding a solution.
Question 4 of 5
A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?
Correct Answer: D
Rationale: The correct answer is D because using a kitchen timer to mark the end of the time-out period ensures consistency and fairness in implementing the discipline technique. This approach helps the child understand the duration of the time-out and sets clear boundaries. This method also prevents the parent from being lenient or harsh in ending the time-out prematurely.
For the other choices:
A: This statement only mentions the duration of the time-out but does not address the consistency or clarity in implementing it.
B: Sending the child to their room might not be specific enough to indicate a proper understanding of time-out.
C: Simply stating that one makes use of time-out does not demonstrate an understanding of how to effectively implement the technique.
E, F, G: No information provided.
Question 5 of 5
A nurse is administering an antidepressant medication to a client. The nurse should understand that which of the following is the major difference between selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs)?
Correct Answer: C
Rationale: The correct answer is C: TCAs are lethal in overdose. Tricyclic antidepressants are more toxic in overdose compared to SSRIs due to their effects on cardiac conduction, leading to fatal arrhythmias. This is a critical difference to be aware of when administering antidepressants.
A: SSRIs and TCAs have similar efficacy, so this statement is incorrect.
B: SSRIs typically have a lower sedative effect compared to TCAs, so this statement is incorrect.
D: TCAs are associated with more cardiovascular side effects compared to SSRIs, so this statement is incorrect.
In summary, the major difference between SSRIs and TCAs lies in the potential lethality of TCAs in overdose, making it crucial for nurses to be vigilant in monitoring and educating clients on safe medication use.