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 is an atypical antipsychotic known to have a lower risk of causing tardive dyskinesia compared to typical antipsychotics. Tardive dyskinesia is a serious movement disorder characterized by involuntary repetitive movements of the face and body. It is crucial for the nurse to educate the client about this potential side effect to monitor and report any early signs. Increased salivation (
A), hypertension (
C), and photosensitivity (
D) are not commonly associated with clozapine use. This makes them incorrect choices in this scenario.
Question 2 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: B
Rationale: The correct answer is B. Providing frequent rest periods for a client experiencing mania in bipolar disorder is essential to prevent exhaustion and promote relaxation. Rest periods help in reducing stimulation and preventing overactivity, which can exacerbate manic symptoms. Encouraging group activities (choice
A) may increase excitement and energy levels. Offering high-calorie snacks (choice
C) can lead to hyperactivity and disrupt sleep patterns. Allowing unlimited physical activity (choice
D) can further escalate manic symptoms and risk of injury.
Question 3 of 5
A nurse is assisting with obtaining informed consent from a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Request that the client’s guardian sign the consent. When a client is declared legally incompetent, their guardian is legally responsible for making decisions on their behalf, including providing consent for medical procedures. The guardian is appointed to act in the best interest of the client and has the authority to make decisions related to their care. Contacting the facility social worker (
A) may be necessary for support, but the guardian is the appropriate person to provide consent. Explaining implied consent to the client’s family (
B) is not sufficient as the guardian must sign the consent. Asking the charge nurse (
D) is not appropriate as the guardian has the legal authority. The other choices are left blank as they are not relevant to the situation.
Question 4 of 5
A nurse is assessing a client who has opioid withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. Opioid withdrawal typically leads to increased sympathetic activity, causing symptoms like insomnia. Hypotension (
A) is not common in opioid withdrawal, as opioids can actually cause hypotension. Hyperthermia (
B) is also not a typical finding in opioid withdrawal. Bradycardia (
D) is unlikely as opioids usually cause bradycardia, not withdrawal. Insomnia (
C) is a common symptom due to the dysregulation of sleep-wake cycles during opioid withdrawal.
Question 5 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. Structured routines help individuals with PTSD feel safe and in control, reducing anxiety and triggers. Encouraging the client to discuss past trauma (
A) can be retraumatizing. Discouraging emotional expression (
C) may hinder healing. Limiting social interactions (
D) can increase feelings of isolation, worsening symptoms.