ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 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 2 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D: They are not actually ill. Patients with anosognosia lack awareness of their illness, leading them to deny their condition and refuse treatment. They genuinely believe they are not sick, making it challenging to accept medication.
Choice A is incorrect as it assumes a belief in the medication's lack of efficacy.
Choice B is incorrect because it introduces a paranoid belief about nurses.
Choice C is incorrect as it focuses on fear of side effects rather than denial of illness.
Question 3 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
Setting a specific limit on the number of times the client can check the door is the most appropriate intervention because it addresses the client's compulsive behavior while also providing structure and boundaries. By setting limits, the client can gradually learn to trust the initial checking and reduce the need for reassurance, promoting independence and self-regulation. This intervention also aligns with cognitive-behavioral therapy principles for treating OCD by encouraging exposure and response prevention.
Summary of other choices:
B: Helping the client find an alternative activity does not directly address the compulsive checking behavior associated with OCD.
C: Providing consistent reassurance reinforces the client's checking behavior and does not promote long-term independence.
D: Ignoring the checking behavior may lead to increased anxiety and does not address the underlying issue of OCD.
Question 4 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. This is because MAO inhibitors have a higher risk of interactions with certain foods and other medications, which can be challenging for a patient with a mild intellectual disability to manage due to potential cognitive limitations. Selective serotonin reuptake inhibitors (
Choice
A) and Serotonin and norepinephrine reuptake inhibitors (
Choice
C) are generally safer options and are commonly used in patients with depression, including those with intellectual disabilities. Choosing "All of the above" (
Choice
D) is incorrect as it includes options that are not suitable for a patient with mild intellectual disability.
Question 5 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 nurse to implement?
Correct Answer: D
Rationale: The correct answer is D: Escort the client to his room. This intervention is appropriate as it addresses the behavior causing annoyance while also ensuring the client's needs are met in a compassionate and non-punitive manner. By escorting the client to his room, the nurse can provide a safe and quiet environment for the client to calm down and reduce the echolalia behavior. This approach respects the client's dignity and promotes a therapeutic environment. The other choices are incorrect because avoiding recognizing the behavior (
A) does not address the issue, isolating the client (
B) may worsen the client's symptoms and social isolation, administering a sedative (
C) should only be done as a last resort due to potential side effects and ethical considerations.