ATI RN
ATI N200 Mental Health Exam 3 Questions
Extract:
Question 1 of 5
An inpatient client who has a known history of violence suddenly begins to pace. Which additional client behavior should alert the nurse to escalating anger and aggression? The client:
Correct Answer: B
Rationale: The correct answer is B. When a client with a history of violence suddenly paces and exhibits tense facial expressions and body language, it indicates escalating anger and aggression. Pacing is a sign of restlessness and potential agitation. Tense facial expressions and body language suggest increased stress and potential readiness for a violent outburst. The other choices are incorrect because sitting with the back to peers (
A) may indicate withdrawal or discomfort but not necessarily escalating aggression. Requesting PRN medications (
C) could indicate distress or discomfort but not necessarily escalating anger. Not wanting to eat lunch (
D) may indicate a lack of appetite or other issues, but it does not directly correlate with escalating aggression.
Question 2 of 5
A client on the inpatient psychiatric unit is scheduled for discharge tomorrow. Which of the following statements would indicate that the client is ready for discharge?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates that the client has taken responsibility for their medication management and follow-up care, essential for successful discharge. A: Indicates a lack of insight into their need for treatment. B: Overconfidence may suggest denial or lack of insight. D: Mentioning persistent suicidal thoughts is concerning and indicates ongoing risk.
Choices E, F, G are not provided.
Question 3 of 5
A client diagnosed with schizophrenia is prescribed clozapine. The nurse teaches the client and family to call the physician immediately if:
Correct Answer: A
Rationale: The correct answer is A: There are any signs of infection. Clozapine can cause agranulocytosis, a serious side effect that suppresses the immune system, leading to an increased risk of infection.
Therefore, any signs of infection such as fever, sore throat, or flu-like symptoms must be reported immediately to the physician to monitor for agranulocytosis.
Choice B is incorrect because a decrease in hallucinations is a therapeutic effect of clozapine and should be expected.
Choice C is incorrect as a decrease in appetite is a common side effect of clozapine and usually improves over time.
Choice D is incorrect as insomnia is a common side effect of clozapine and does not require immediate medical attention.
Question 4 of 5
A client tells the nurse,"I feel bad because my mother does not want me to return home after I leave the hospital. Which nursing response is most therapeutic?
Correct Answer: D
Rationale: The correct answer is D because it reflects active listening and empathy towards the client's feelings. By restating the client's statement ("You feel that your mother does not want you to come back home"), the nurse validates the client's emotions and encourages further exploration and discussion. This response shows support and understanding without making assumptions or judgments.
Choice A is incorrect as it assumes the mother is understanding without knowing the full situation.
Choice B is invalidating and dismissive of the client's emotions.
Choice C puts pressure on the client to confront their mother without acknowledging their current emotional state.
Question 5 of 5
A young client asks the nurse for their telephone number,with the intent of calling to schedule a date. Which of the following responses would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: "This is a professional relationship, and we need to be clear on that." This response establishes professional boundaries, prioritizing the therapeutic relationship over personal interests. It communicates respect for the client and maintains ethical standards. Other choices are incorrect: A implies a potential relationship after recovery, which blurs boundaries; B cites policy rather than explaining the nature of the relationship; D discloses personal information that is not relevant to the situation.