ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because benztropine is commonly used to treat extrapyramidal side effects (EPS) caused by antipsychotic medications, such as tremors, muscle stiffness, and restlessness. By including this in the teaching, the nurse is providing valuable information on how the medication works to address these side effects.
Choices B, C, and D are incorrect because benztropine is not used to treat depression, hallucinations, or tachycardia in clients with schizophrenia. Benztropine's main purpose is to manage EPS specifically.
Question 2 of 5
A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Attachment to objects that spin. Children with autism spectrum disorder often exhibit repetitive behaviors or fixations on certain objects or activities, such as spinning objects. This behavior can provide comfort or a sense of predictability. It is important for the nurse to anticipate and address these specific needs in the child's care plan.
A, B, and C are incorrect because children with autism spectrum disorder typically struggle with social communication skills, including initiating conversations, engaging in imaginative play, and forming strong relationships with siblings and peers. These deficits in social interaction are common characteristics of autism spectrum disorder.
Question 3 of 5
A nurse is caring for a client who has posttraumatic stress disorder related to military service. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assign the same staff to care for the client each day. This consistency helps establish trust and familiarity, promoting a sense of safety for the client with PTSD. It also aids in continuity of care and allows the client to build a therapeutic relationship with the staff. This approach can enhance the client's comfort level and reduce anxiety. Encouraging the client to suppress feelings (
A) is harmful as it can lead to further emotional distress. Addressing the client authoritatively (
C) may trigger feelings of threat or fear, worsening symptoms. Limiting time spent with the client (
D) can disrupt the therapeutic bond and hinder progress.
Question 4 of 5
A nurse is planning care for a client who has bipolar disorder. The client reports not sleeping for 3 days and is exhibiting a euphoric mood. The nurse should identify which of the following as the priority intervention.
Correct Answer: D
Rationale: The correct answer is D: Provide high calorie snacks to the client. In bipolar disorder, lack of sleep and elevated mood can lead to increased energy expenditure. Providing high-calorie snacks can help replenish energy levels. This is the priority intervention as it addresses the client's physical needs.
A: Securing valuable possessions may be important but ensuring the client's physical well-being takes precedence.
B: Limiting loud noises may help create a calming environment but does not directly address the client's immediate needs.
C: Encouraging solitary activities may not be safe due to the client's current state of elevated mood.
Overall, addressing the client's physical needs is the priority in this scenario.
Question 5 of 5
A nurse is reviewing laboratory findings for a client who has been taking lithium for 6 months. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale:
Correct Answer: C (Creatinine 1.5 mg/dL)
Rationale:
1. Creatinine level of 1.5 mg/dL indicates potential kidney dysfunction due to long-term lithium use.
2. Lithium is excreted by the kidneys, and elevated creatinine suggests impaired renal function, which can lead to lithium toxicity.
3. Reporting this finding is crucial to prevent serious complications such as lithium toxicity and renal damage.
Incorrect
Choices:
A: Lithium level 0.8 mEq/L - This level is within the therapeutic range for lithium.
B: Sodium 130 mEq/L - Mild hyponatremia is common with lithium use and may not require immediate action.
D: WBC 8,000/mm³ - Normal white blood cell count, not directly related to lithium therapy.