ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has schizophrenia about the adverse effects of clozapine. Which of the following side effects should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. Clozapine can lead to this side effect, which is characterized by involuntary movements of the face and body. This is important to include in teaching as it can be a serious and potentially irreversible effect of the medication. Increased salivation (choice
A) is not a common side effect of clozapine. Hypertension (choice
C) is not typically associated with clozapine use. Photosensitivity (choice
D) is not a common side effect of clozapine. Overall, choice B is the correct answer as it aligns with the known side effects of clozapine in individuals with schizophrenia.
Question 2 of 5
A nurse is caring for a client who has post-traumatic stress disorder (PTSD). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Provide a structured routine. Individuals with PTSD often benefit from a predictable routine as it provides a sense of safety and control. This intervention helps regulate emotions and reduces anxiety by creating a stable environment. Encouraging the client to discuss past trauma (
A) may worsen symptoms if the client is not ready. Discouraging emotional expression (
C) can be harmful as it may lead to emotional suppression. Limiting social interactions (
D) may increase feelings of isolation and exacerbate symptoms. It's important to prioritize stability and structure in the plan of care for clients with PTSD.
Question 3 of 5
A nurse is providing teaching to a client who has depression and a new prescription for amitriptyline. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take this medication at bedtime. Amitriptyline is a tricyclic antidepressant that can cause drowsiness and sedation, so taking it at bedtime can help minimize these side effects. It also helps improve adherence to the medication regimen.
Choice B is incorrect because it takes several weeks to see the full effects of amitriptyline, not within 24 hours.
Choice C is incorrect because tyramine restriction is typically associated with MAOIs, not tricyclic antidepressants like amitriptyline.
Choice D is incorrect because abruptly stopping amitriptyline can lead to withdrawal symptoms and a potential relapse of depression.
Question 4 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia involve a decrease or absence of normal functions. Social withdrawal is a classic negative symptom, as it reflects a reduction in social interactions and interest. Delusions (
A) and hallucinations (
B) are positive symptoms, characterized by the presence of abnormal behaviors. Agitation (
D) is associated with agitation and restlessness, not with negative symptoms. In summary, social withdrawal is the correct answer because it aligns with the definition of negative symptoms in schizophrenia.
Question 5 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 mania, clients with bipolar disorder have high energy levels and may engage in excessive activities, leading to physical and mental exhaustion. Providing frequent rest periods helps to prevent burnout and promotes relaxation.
Choice B is incorrect as social interaction can provide support and prevent feelings of isolation.
Choice C is incorrect as unlimited physical activity can exacerbate manic symptoms.
Choice D is incorrect as limiting choices can cause frustration and may escalate the manic episode.