ATI RN
ATI Mental Health Quiz Questions
Extract:
Nurses' Notes
1000:
Client became upset in activity room because they lost a card game.
Client yelled at other clients stating. "They always cheat me!”
Client walks to their room and sits on bed.
1015:
Client returns to activity room; posture tense, fists clenched, and yells and uses obscenities toward staff members and other clients.
Asked client to calm down, explained consequences of their inappropriate behavior, and to share what took place. Maintained safe distance and asked client to have seat to talk about their anger.
Client's behavior continues to escalate.
Question 1 of 5
Client's behavior continues to escalate. A nurse is caring for a client in an inpatient psychiatry unit, Drag words from the choices below to fill in each blank in the following sentence ,Which of the following actions should the nurse take first? The nurse should ___ followed by ___.
Correct Answer: C,D
Rationale: Offering a physical outlet (
C) like walking helps release energy non-threateningly, followed by medication (
D) if agitation persists. Restraints (
A) and physical contact (
B) risk escalation and are last resorts.
Extract:
Question 2 of 5
The nurse would recognize that a client understands the provided education regarding risperidone when the client states which of the following
Correct Answer: C
Rationale: Dizziness from risperidone, often due to orthostatic hypotension, is managed by rising slowly (
C), showing client understanding. Severe headache with confusion (
A) requires medical attention, stopping medication abruptly (
B) risks withdrawal, and congestion (
D) is unrelated to risperidone’s common side effects.
Question 3 of 5
The client exhibits a flat affect, psychomotor retardation, and a depressed mood. The nurse attempts to engage the client in an interaction, but the client does not respond to the nurse. Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Sitting quietly with the client (
A) offers supportive presence without pressure, respecting their depression-related withdrawal. Finding another person (
B), leaving (
C), or offering reading material (
D) may feel dismissive or neglectful.
Question 4 of 5
A patient on the psychiatric unit took his first dose of chlorpromazine last night. The following morning, he approaches the nursing station complaining of severe spasms in his neck and back. The psych nurse informs the provider, and can expect an order for which medication?
Correct Answer: D
Rationale: Severe spasms are likely extrapyramidal symptoms (EPS) from chlorpromazine, a typical antipsychotic. Benztropine (
D), an anticholinergic, treats EPS. Olanzapine and fluphenazine (A,
C) are antipsychotics, and flumazenil (
B) is for benzodiazepine overdose, not EPS.
Question 5 of 5
A nurse in an acute care mental health facility is caring for a client who has paranoid schizophrenia and suddenly becomes angry and uncontrollably violent toward staff. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Haloperidol (
B), an antipsychotic, is used for acute agitation and violence in schizophrenia. Paroxetine (
A) is an antidepressant, lithium (
C) is for bipolar disorder, and propranolol (
D) is for anxiety or hypertension.