ATI RN
ATI Mental Health Exam N200 Group 2 Exam Questions
Extract:
Question 1 of 5
The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?
Correct Answer: D
Rationale: Increased restlessness can be a sign of pain anxiety hypoxia or other complications and should be addressed promptly. Blood pressure 110/70 and heart rate 86 are within normal ranges hypoactive bowel sounds are common post-operatively and a negative Homan's sign is a positive finding.
Question 2 of 5
A client,who is newly admitted with Obsessive-Compulsive Disorder,washes their hands ritualistically before any activity. They arrive late to meals and does not have time to finish eating. The appropriate nursing action would be to:
Correct Answer: D
Rationale: allow the client to continue as is but provide them access to the kitchen. This respects autonomy while allowing gradual exposure therapy to reduce ritual time avoiding abrupt confrontation.
Question 3 of 5
A client diagnosed with schizophrenia disorder states,"My psychiatrist is out to get me. I'm sad that the voice is telling me to stop the psychiatrist." What symptom is the client exhibiting, and what is the nurse's legal responsibility related to this symptom?
Correct Answer: B
Rationale: Command hallucinations; warn the psychiatrist. The client’s voices directing harm indicate a command hallucination requiring the nurse to warn the potential victim due to duty to protect.
Question 4 of 5
A client diagnosed with schizophrenia disorder is prescribed haloperidol 50 mg oral BID,"benztropine 1 mg oral prn and zolpidem 10 mg oral hs. Which client behavior would warrant the nurse to administer benztropine?
Correct Answer: A
Rationale: Muscle rigidity and stiffness indicate extrapyramidal symptoms (EPS) which benztropine treats. Other symptoms are not EPS-related.
Question 5 of 5
When the nurse admits a client with anorexia nervosa for treatment,the therapeutic milieu should provide: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: observation during and after meals adherence to scheduled meal times and monitoring during bathroom trips prevent purging and establish healthy eating patterns. Fast food trips are inappropriate and daily weight checks are preferred over weekly.