ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:
Correct Answer: A
Rationale: The correct answer is A: Lithium (Eskalith). Lithium is known to cause significant fluid and electrolyte imbalances, particularly affecting sodium levels. Patients on lithium therapy require close monitoring of their electrolyte levels to prevent adverse effects such as dehydration or hyponatremia. Clozapine (
B), Diazepam (
C), and Amitriptyline (
D) do not typically have as profound effects on fluid and electrolyte balance as lithium.
Therefore, they do not require the same level of monitoring for these imbalances.
Question 2 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
Correct Answer: C
Rationale: The correct answer is C: Avoid recognizing the behavior. This intervention is best because echolalia is a symptom of schizophrenia and acknowledging or reinforcing it may exacerbate the behavior. Ignoring the behavior can help decrease its frequency as the client may lose interest in repeating others' words if it does not elicit a response. Isolating the client (
A) may lead to feelings of rejection and exacerbate symptoms. Administering a sedative (
B) should not be the first-line approach as it does not address the underlying cause of the behavior. Escorting the client to his room (
D) may not be effective in managing echolalia.
Question 3 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.†Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct response is C: "You seem very upset. Please tell me more about what you experienced last night." This response demonstrates empathy, active listening, and encourages further disclosure, which can help James feel supported and validate his feelings. It also opens up the opportunity for James to express his thoughts and emotions, leading to a better understanding of his experiences.
Choice A is incorrect as it dismisses James' experiences and can be invalidating.
Choice B is incorrect as it may come across as dismissive and does not address James' emotional state.
Choice D is incorrect as it focuses more on reassurance than on actively listening and understanding James' experience.
Question 4 of 5
When preparing to administer to domestic violence screening tool to a female client, which statement should the RN provide?
Correct Answer: D
Rationale: The correct answer is D because it emphasizes the importance of universal screening for domestic abuse due to its prevalence in society. It ensures all clients are screened, regardless of perceived risk, promoting early detection and intervention.
Choice A may inadvertently disclose the purpose of the screening, compromising the client's safety.
Choice B is coercive and may not be true in all jurisdictions.
Choice C is too vague and lacks the universal approach of choice D.
Question 5 of 5
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse’s station in a laterally contracted position, he states that something has made his body contort into a monster. What action should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia. Dystonia is a movement disorder characterized by involuntary muscle contractions, which can be a side effect of antipsychotic medications like risperidone. Benztropine is commonly used to manage dystonia by blocking acetylcholine receptors in the brain. By administering benztropine, the nurse can help alleviate the client's symptoms of muscle contractions and provide relief.
Incorrect options:
A: Medicate the client with thioridazine - Thioridazine is not the appropriate medication for managing dystonia.
B: Offer a hot pack for muscle spasms - While heat therapy can be helpful for muscle relaxation, it does not address the underlying cause of dystonia.
D: Direct client to occupational therapy - Occupational therapy may be beneficial for overall mental health, but it does not specifically address the acute symptoms of dystonia.
Overall, option