ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 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 2 of 5
A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room,which of the following nursing actions is most therapeutic at this time?
Correct Answer: B
Rationale: Remaining with the client provides reassurance safety and emotional support during a panic attack which is essential for de-escalation. Resting joining a group or medicating are less immediate or appropriate interventions during a panic attack.
Question 3 of 5
A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?
Correct Answer: A
Rationale: Helping the client identify anxiety triggers is a crucial step in managing chronic anxiety. This allows the client to develop coping strategies and minimize stressors. Repressing feelings weekly counselor contact or eliminating all stress are not realistic or effective strategies.
Question 4 of 5
A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?
Correct Answer: D
Rationale: Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety as these feelings are a critical sign of potential harm to themselves. Other diagnoses are secondary to safety.
Question 5 of 5
A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hr to a client. The amount available is chlordiazepoxide 25 mg/capsule. How many capsules should the nurse administer per dose? (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: 25 mg is to 1 capsule as 50 mg is to x capsules. So 25 / 1 = 50 / x. Cross-multiplying: 25x = 50. Dividing both sides by 25: x = 2.
Therefore the nurse should administer 2 capsules per dose.