ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Anxiety often leads to physical symptoms such as urinary frequency due to increased sympathetic nervous system activity. Chills are not typical rapid speech is more common in severe anxiety and distorted perceptual fields are seen in panic or severe anxiety not moderate anxiety.
Question 2 of 5
A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: B
Rationale: The compulsive behavior in OCD is often used as a coping mechanism to reduce anxiety. The client is attempting to neutralize or manage obsessive thoughts by performing these repetitive actions. Other options do not reflect the primary motivation.
Question 3 of 5
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Solution: 50 mcg is to 1 tablet as 100 mcg is to x tablets. So 50 / 1 = 100 / x. Cross-multiplying: 50x = 100. Dividing both sides by 50: x = 2.
Therefore the nurse should administer 2 tablets daily.
Question 4 of 5
A patient diagnosed with bipolar disorder is prescribed lamotrigine. The nurse should instruct the patient to immediately report which adverse effect?
Correct Answer: C
Rationale: A skin rash is a serious adverse effect of lamotrigine as it can indicate a life-threatening condition called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) which require immediate medical intervention. Other side effects are less urgent.
Question 5 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: A
Rationale: Valproate is associated with potential liver toxicity so liver function tests must be monitored regularly during treatment. Thyroid tests EEGs and high sodium levels are not directly related to valproate therapy.