ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Extract:
Question 1 of 5
An anxiolytic agent has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Option B is correct because it reflects an accurate understanding of the purpose of an anxiolytic agent, which is to help relax the client and improve focus for problem-solving during periods of anxiety. This statement indicates that the client grasps the intended therapeutic effect of the medication.
Explanation of Other
Choices:
A: This statement suggests a misunderstanding regarding the use of anxiolytic medication as a long-term solution, which may not necessarily be the case.
C: This statement is incorrect as anxiolytic medications, depending on the type, can carry a risk of addiction or dependence if not used appropriately.
D: This statement is incorrect as anxiolytic medications do not always completely eliminate anxiety but rather help manage symptoms.
Question 2 of 5
A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings and offers a supportive approach. By stating "I will help you get ready and then you can rest after activities," the nurse is validating the client's current state while also encouraging participation in activities. This response shows empathy, understanding, and provides a gentle push towards engagement without being forceful.
Choice A is incorrect as it comes off as dismissive and authoritative, which can exacerbate the client's feelings of helplessness.
Choice B is too passive and may enable the client's behavior.
Choice C is also incorrect as it suggests avoidance rather than encouraging participation.
Question 3 of 5
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Walk with the client at a gradually slower pace. This option is appropriate because it allows the nurse to provide support and reassurance to the client during a distressing situation. By walking with the client, the nurse can help the client feel safe and gradually calm down. It also shows empathy and understanding towards the client's anxiety.
Option B is incorrect because instructing the client to sit down and stop pacing may come off as dismissive and could escalate the client's anxiety. Option C is not ideal as it may be perceived as punitive or restrictive. Option D is not recommended as it does not provide any support or assistance to the client during a moment of distress.
Question 4 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Tardive dyskinesia is a side effect of long-term use of antipsychotic medications like haloperidol. A: Involuntary pelvic rocking and hip thrusting movements, B: Facial grimacing and eye blinking, C:
Tongue thrusting and lip smacking are all classic signs of tardive dyskinesia. These movements are involuntary and repetitive, affecting different parts of the body. In contrast, D: Fine hand tremors and pill rolling are more indicative of Parkinsonism, a different side effect of antipsychotic medications. E: Urinary retention and constipation are not typical signs of tardive dyskinesia.
Question 5 of 5
The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?
Correct Answer: D
Rationale: The correct answer is D: Delusions. Delusions are false beliefs that are firmly held despite evidence to the contrary. In this scenario, the client with schizophrenia believing that student nurses are spying on them is an example of a persecutory delusion. This belief is not based on reality and is a common symptom of schizophrenia.
Rationale:
- Hallucinations (choice
A) refer to sensory experiences that are not based in reality, such as hearing voices or seeing things that are not there.
- Anhedonia (choice
B) is the inability to experience pleasure, which is not applicable to the situation described.
- Illusions (choice
C) involve misinterpreting sensory stimuli, but the client's belief in this scenario is more complex than a simple misinterpretation.
- Delusions (choice
D) are the most fitting symptom as the client's belief about being spied on is a false, fixed belief that is characteristic of schizophrenia.