ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on an acute mental health unit is caring for a client who has major depressive disorder. Which of the following interventions is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: Monitor for risk of self-harm. This is the priority because individuals with major depressive disorder have an increased risk of suicidal ideation and behavior. By monitoring for self-harm, the nurse can ensure the client's safety and intervene promptly if necessary. Administering antidepressants (choice
B) is important but not the priority as it may take time to show therapeutic effects. Encouraging fluid intake (choice
C) and assisting with activities of daily living (choice
D) are important aspects of care but do not address the immediate safety concern of self-harm.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: C
Rationale: Valproate is metabolized in the liver, requiring regular liver function monitoring.
Question 3 of 5
A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following nursing responses should the nurse manager make?
Correct Answer: D
Rationale: The correct answer is D: "I can review the assignments and arrange for a female nurse to care for you." This response respects the client's preference for a female caregiver, prioritizing her comfort and sense of safety. It acknowledges and addresses the client's concerns promptly and professionally.
Option A is incorrect because it only offers a female assistive personnel for personal hygiene care, not the nurse, which may not fully address the client's request. Option B is incorrect as it focuses on the nurse's capability rather than the client's comfort. Option C is incorrect as it dismisses the client's preference by comparing it to the doctor's gender. The correct response should prioritize the client's emotional well-being and autonomy.
Question 4 of 5
Which medication is commonly prescribed to treat obsessive-compulsive disorder (OCD)?
Correct Answer: A
Rationale:
Step-by-step rationale for why Paroxetine (
A) is the correct answer:
1. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat OCD.
2. SSRIs help increase serotonin levels in the brain, which can alleviate OCD symptoms.
3. Clinical studies have shown the effectiveness of Paroxetine in reducing obsessions and compulsions in OCD patients.
4. Lithium (
B), Donepezil (
C), Valproate (
D), and Carbamazepine (E) are not typically prescribed for OCD.
Summary:
Paroxetine is the correct choice due to its specific mechanism of action targeting serotonin levels, supported by clinical evidence. Other options lack efficacy or are not commonly used for OCD treatment.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client direct questions about the hallucination. This approach helps the nurse understand the client's experience without dismissing or reinforcing the hallucination. It also promotes therapeutic communication and builds trust.
Choice A would not be appropriate as it validates the hallucination.
Choice B could escalate the situation and increase distress.
Choice D may cause the client to become defensive or feel invalidated. Asking direct questions (
Choice
C) allows the nurse to gather information to provide appropriate care and support.