ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, 'I feel so much better now.' How should the nurse interpret this behavior change? The:
Correct Answer: D
Rationale: Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
Question 2 of 5
A family describes a client diagnosed with bipolar disorder as being 'on the move.' The client sleeps 3-4 hours nightly, spends excessively, and has recently lost 10 pounds. During the initial client assessment, which response would the nurse expect?
Correct Answer: D
Rationale: Mania is characterized by symptoms such as increased energy levels, decreased need for sleep, impulsivity, racing thoughts, and agitation. Disorganized thinking, rapid speech, and an inability to remain seated are common manifestations of manic symptoms.
Question 3 of 5
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?
Correct Answer: C
Rationale: Individuals with BPD often experience intense fears of abandonment and may go to great lengths to avoid being alone. They may also have difficulties being alone due to chronic feelings of emptiness and the need for others to help manage emotions. This characteristic is consistent with the known symptoms of BPD.
Question 4 of 5
The nurse is scheduled to interview a client with histrionic personality disorder. The nurse can anticipate that the assessment findings will include the following. The client:
Correct Answer: D
Rationale: Histrionic personality disorder (HP
D) is characterized by a pattern of excessive emotionality and attention-seeking behavior. Individuals with HPD often display dramatic, flamboyant, or exaggerated emotions and may use seductive or provocative behavior to capture the attention of others.
Question 5 of 5
The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:
Correct Answer: B
Rationale: Tricyclic antidepressants (TCAs) are known to take some time before their full therapeutic effects are realized, which can indeed be up to four weeks. This delay is due to the gradual changes they induce in the brain's biochemistry.