ATI RN
ATI Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?
Correct Answer: D
Rationale: An elevated creatinine level (2.1 mg/dL) indicates possible renal dysfunction which is a concern for lithium use. Lithium is excreted by the kidneys and impaired renal function increases the risk of lithium toxicity. Normal potassium slightly low sodium and normal calcium do not warrant withholding the medication.
Question 2 of 5
A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?
Correct Answer: B
Rationale: Gradual exposure to feared situations is a common treatment for agoraphobia. Sitting on a park bench for a few minutes each day represents a reasonable and incremental goal showing understanding of the treatment approach. Other options are too ambitious or counterproductive.
Question 3 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: D
Rationale: Clients with OCD often perform compulsive rituals to reduce anxiety. Planning time for rituals allows the nurse to balance the need to manage the behavior with the need to provide structure and care. Isolation strict limits or confrontation can increase anxiety and worsen compulsive behaviors.
Question 4 of 5
Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?
Correct Answer: B
Rationale: Agoraphobia is characterized by a fear of situations where escape might be difficult or help unavailable leading to avoidance behavior such as being unable to leave home. It often co-occurs with panic disorder. Other disorders do not specifically involve this avoidance behavior.
Question 5 of 5
A nurse is caring for a client who is prescribed alprazolam to manage severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?
Correct Answer: A
Rationale: Alprazolam is a benzodiazepine that can cause drowsiness dizziness and impair motor coordination.
Therefore the nurse should advise the client to avoid activities that require alertness until they understand how the medication affects them. Other options are incorrect for alprazolam.