ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Changing the AP's assignment is appropriate because it addresses the AP's feelings of irritation in a professional manner. It ensures the client's care is not compromised due to the AP's negative emotions. It shows empathy towards the AP's concerns while prioritizing the client's well-being.
Summary:
A: Minimizes the client's feelings and does not address the AP's issue.
B: Focuses on the client's needs but does not address the AP's feelings.
C: Invalidates the AP's emotions and does not promote a supportive environment.
D: Addresses both the AP's feelings and the client's care effectively.
E, F, G: Not provided.
Question 2 of 5
A nurse is planning care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ask the client directly about the content of the hallucinations. This intervention is crucial in understanding the nature and severity of the hallucinations, which helps in tailoring appropriate treatment and support. It also fosters trust between the nurse and the client, promoting open communication. Encouraging the client to listen to loud music (
A) may exacerbate the hallucinations. Instructing the client to ignore the voices (
C) may not be effective and could lead to increased distress. Avoiding discussing the hallucinations (
D) may hinder the therapeutic relationship and prevent necessary interventions.
Question 3 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: B
Rationale: The correct answer is B: Snap a rubber band on your wrist when you think about checking the locks. This is an effective application of the thought stopping technique, as the physical sensation of snapping the rubber band serves as a distraction and helps interrupt the obsessive thought pattern. Keeping a journal (choice
A) does not directly address the behavior in the moment. Asking a family member for help (choice
C) does not empower the client to manage their own behavior. Focusing on abdominal breathing (choice
D) may be helpful for relaxation but does not directly address the obsessive thought.
Question 4 of 5
A nurse is assessing a client who is experiencing alcohol withdrawal. For which of the following findings should the nurse anticipate administration of lorazepam?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Lorazepam is commonly used to manage symptoms of alcohol withdrawal, including hypertension. Alcohol withdrawal often leads to increased sympathetic activity, resulting in elevated blood pressure. Lorazepam helps to decrease anxiety, agitation, and autonomic hyperactivity associated with alcohol withdrawal, thus helping to lower blood pressure. Bradycardia (
A), stupor (
B), and being afebrile (
C) are not typically indications for lorazepam administration in alcohol withdrawal. Bradycardia and stupor may indicate severe alcohol intoxication, while afebrile status is not directly related to the need for lorazepam in alcohol withdrawal.
Question 5 of 5
A nurse is providing teaching to a client who has panic disorder and is receiving alprazolam. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Avoid activities that require alertness. This instruction is crucial because alprazolam is a benzodiazepine that can cause drowsiness and impair coordination. By avoiding activities requiring alertness, the client can minimize the risk of accidents. Taking the medication on an empty stomach (
A) is unnecessary as alprazolam can be taken with or without food. Stopping the medication if dizziness occurs (
C) is dangerous and should not be done abruptly without consulting a healthcare provider. Taking an additional dose if anxiety increases (
D) can lead to overdose and is not recommended.