ATI RN
ATI Mental Health Nursing 12601 Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client that has a diagnosis of alcohol dependence and has come to the Emergency Department with symptoms of alcohol withdrawal. An order is written for lorazepam 3 mg IV. The pharmacy only has the injectable form of lorazepam in a concentration of 2 mg/mL. Each vial contains 1 mL. How many vials does the nurse need to retrieve from the med room to prepare the ordered dose?
Correct Answer: 2
Rationale: Dose = 3 mg / 2 mg/mL = 1.5 mL. Since each vial is 1 mL, 2 vials are needed to provide at least 1.5 mL.
Question 2 of 5
An adolescent client has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as the:
Correct Answer: A
Rationale: By imposing consequences for rule-breaking, the nurse acts as a parent surrogate, providing structure and discipline similar to a parental role. Caregiver focuses on physical/emotional care, advocate on rights, and teacher on education, none of which fit as directly.
Question 3 of 5
A client is being seen in the mental health clinic. The client has been on a conventional, first-generation antipsychotic for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:
Correct Answer: D
Rationale: Tardive dyskinesia is a chronic side effect of long-term first-generation antipsychotic use, characterized by involuntary movements like tongue protrusion, lip smacking, and rapid eye blinking. Akathisia involves restlessness, neuroleptic malignant syndrome presents with fever and rigidity, and dystonia causes sustained muscle contractions, not matching the symptoms described.
Extract:
A nurse is taking care of a client who is taking an antipsychotic medication. Assessment findings reveal a stooped posture, shuffling gait with small steps, and tremor.
Question 4 of 5
Based on the nursing assessment, the client is most likely experiencing ---------------- due to the antipsychotic drug --------------------
| Akathisia |
| Pseudoparkinsonism |
| Blocking the dopamine receptors |
| Tardive dyskinesia |
Correct Answer: B,C
Rationale: Pseudoparkinsonism mimics Parkinson’s symptoms (stooped posture, shuffling gait, tremor) due to dopamine receptor blockade by antipsychotics, particularly first-generation ones.
Extract:
Question 5 of 5
Which response by the nurse would be most therapeutic when a client expresses anger about being discharged?
Correct Answer: C
Rationale: Acknowledging the client’s anger and inviting them to express their feelings promotes therapeutic communication, fostering trust and understanding. Option A is dismissive, B is judgmental, and D assumes a preference without exploring the client’s emotions.