ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The nurse leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Redirect him by encouraging him to read from the handout. This is the best nursing action because it addresses the client's disruptive behavior by redirecting his focus back to the task at hand, which is learning about anger management. By encouraging him to read from the handout, the nurse helps him engage with the material, potentially reducing his fidgetiness and interrupting behavior.
Choice A (Give the client permission to leave and return in 10 minutes) could reinforce the disruptive behavior.
Choice B (Explore the client’s feelings about his pets and home life) may not address the immediate issue of his disruptive behavior.
Choice C (Encourage his peers to help involve him in the activity) may not effectively address the client's behavior and could potentially create more disruptions.
Question 2 of 5
Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert’s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
Correct Answer: D
Rationale: The correct answer is D:
To have a less positive outcome. Gilbert's symptoms of odd behavior, academic decline, social withdrawal, and obsession with locks indicate a significant impact on his daily functioning, suggesting severe impairment. Schizophrenia typically has a chronic course with fluctuating symptoms and poor functional outcomes, especially when onset is early and symptoms are persistent. While medication and psychosocial interventions can help manage symptoms, the early and slow onset of schizophrenia in Gilbert suggests a more challenging prognosis.
Choices A and C are incorrect because they imply a more optimistic outlook that may not align with the severity of Gilbert's symptoms.
Choice B is incorrect as Gilbert's symptoms indicate more than just a relapse stage.
Question 3 of 5
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates an understanding of the importance of congruence between verbal and nonverbal communication in validating responses. Checking for alignment between verbal and nonverbal cues helps ensure accurate interpretation of the patient's message. Option A is incorrect as it states a general observation without emphasizing the significance of congruence. Option C is incorrect because assuming emotions based solely on body language can lead to misinterpretations. Option D is incorrect as it undermines the complexity and importance of nonverbal communication.
Question 4 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 5 of 5
A client with major depressive disorder is prescribed lithium carbonate. Which finding should the RN report to the healthcare provider?
Correct Answer: B
Rationale: The correct answer is B: Blood urea nitrogen (BUN) level of 16 mg/dL. This finding should be reported because lithium can affect kidney function, leading to decreased renal clearance and potential toxicity. Elevated BUN levels indicate possible kidney impairment, which can be exacerbated by lithium. Reporting this finding promptly allows for timely intervention to prevent further kidney damage.
Incorrect choices:
A: Serum lithium level of 0.8 mEq/L - This is within the therapeutic range for lithium, so it does not require immediate reporting.
C: Serum sodium level of 138 mEq/L - This is within the normal range and not directly related to lithium therapy.
D: Urine output of 800 mL in 24 hours - While decreased urine output could indicate kidney issues, the specific BUN level is a more direct indicator of kidney function in this context.