ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
Correct Answer: C
Rationale:
Rationale: In the orientation phase, it's crucial to establish roles to clarify boundaries and expectations. This helps build trust and sets the foundation for the therapeutic relationship. Discussing resources (
A) is more appropriate in the working phase. Teaching relaxation exercises (
B) and changing stress responses (
D) are interventions for later phases. In summary, setting roles (
C) is essential in the orientation phase, while the other options are more suited for subsequent phases of therapy.
Question 2 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B because increased thoughts of suicide can occur in the initial phase of fluoxetine treatment due to the activation of energy before mood improvement.
Choice A is incorrect as it typically takes weeks for mood improvement to occur.
Choice C is incorrect because tyramine restriction is associated with MAOIs, not SSRIs like fluoxetine.
Choice D is incorrect as lithium monitoring is not relevant to fluoxetine therapy.
Question 3 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B: "I may experience increased thoughts of suicide at the beginning of treatment." This statement indicates an understanding of the medication, fluoxetine, because it is important for the client to be aware of the potential risk of increased suicidal thoughts, especially at the beginning of treatment. This is a crucial safety concern in patients with major depressive disorder starting antidepressants. The client should be monitored closely for any changes in mood or behavior and report any concerning thoughts to the healthcare provider immediately.
Incorrect choices:
A: "I should expect to see improvement in my mood within a few days." - This is incorrect because fluoxetine can take several weeks to show its full therapeutic effects.
C: "I need to avoid foods high in tyramine while taking this medication." - This is incorrect as tyramine restriction is typically associated with MAOIs, not SSRIs like fluoxetine.
D: "I will need to have my lithium levels checked regularly." - This is incorrect as lithium levels
Question 4 of 5
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life." Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the caregiver to arrange for a daycare program for the client. This is the best option because it provides the caregiver with respite, allowing them to take a break and attend to their own needs while ensuring the client receives appropriate care. It also helps in preventing caregiver burnout and enhances the client's social engagement.
Option A is incorrect as prescribing antipsychotic medication should not be the first line of intervention for caregiver stress. Option B is incorrect as it does not address the caregiver's need for respite. Option C is incorrect as discussing communication strategies, while important, does not directly address the caregiver's need for relief.
Question 5 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Identity vs role confusion. During adolescence, individuals explore and develop their sense of self and try to establish a coherent identity. This stage aligns with Erikson's theory of psychosocial development. Option A (Generativity vs self-absorption) is more relevant to middle adulthood. Option B (Trust vs mistrust) pertains to infancy. Option C (Intimacy vs isolation) relates to young adulthood.
Therefore, the correct stage for an adolescent client would be D, as they are likely navigating issues related to their identity and role in society.