ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
Where should a nurse assign a client experiencing manic behavior?
Correct Answer: B
Rationale: The correct answer is B: Private room in a quiet location. This choice is appropriate because a client experiencing manic behavior requires a calm and quiet environment to minimize stimulation and help reduce agitation. Placing the client in a private room can provide the necessary space for the client to calm down and prevent potential triggers for further manic episodes.
Other choices are incorrect:
A: A semi-private room across from the day room may expose the client to increased noise and activity, which can exacerbate manic behavior.
C: A semi-private room across from the snack area may lead to distractions and potential interactions that can escalate the manic behavior.
D: A shared room near the nursing station may not offer the privacy and quiet environment needed for a client experiencing manic behavior to stabilize.
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia involve the absence or reduction of normal behaviors or functions. Social withdrawal is a common negative symptom, characterized by the client's lack of interest in social interactions. Delusions (
A) and hallucinations (
B) are positive symptoms, involving the presence of abnormal behaviors or perceptions. Agitation (
D) is a symptom of increased motor activity, not a negative symptom. Flat affect (E) refers to a lack of emotional expression, which is also a negative symptom. In summary, social withdrawal aligns with the definition of negative symptoms in schizophrenia, making it the correct answer.
Question 3 of 5
A nurse is reviewing medication records for several psychiatric clients who have bipolar disorder. Which of the following medications is commonly used to treat bipolar disorder?
Correct Answer: B
Rationale: The correct answer is B: Lithium. Lithium is a mood stabilizer commonly used to treat bipolar disorder by reducing the frequency and intensity of manic episodes. It helps to balance neurotransmitters in the brain. Paroxetine (
A) is an antidepressant, Donepezil (
C) is used for Alzheimer's disease, Valproate (
D) is another mood stabilizer, and Carbamazepine (E) is an anticonvulsant often used in bipolar disorder.
Therefore, the correct choice is Lithium (
B) as it specifically targets bipolar symptoms.
Question 4 of 5
A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B. "Come with me to an area where we can talk without interruption."
Rationale: By inviting the client to a private area for a conversation, the nurse demonstrates empathy, active listening, and a willingness to provide support. This response acknowledges the client's distress and creates a safe space for the client to express their feelings and concerns openly. It also allows the nurse to assess the client's current state and provide appropriate interventions or referrals. This approach promotes therapeutic communication and helps establish trust between the client and the nurse.
Summary of other choices:
A: Incorrect. Lying down may not be suitable for a client experiencing moderate anxiety and distress.
C: Incorrect. While relaxation exercises can be beneficial, they may not be the immediate priority in this situation.
D: Incorrect. Offering medication as the first response without further assessment or therapeutic communication is not ideal and may not address the client's underlying concerns effectively.
Question 5 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Identify precipitating factors for ritualistic behaviors. This is the first action the nurse should take because understanding the triggers for the client's ritualistic behaviors is essential in developing an effective care plan. By identifying these factors, the nurse can work with the client to address them and potentially reduce the frequency or intensity of the OCD symptoms. Discussing coping strategies (choice
A), teaching relaxation techniques (choice
C), and providing a structured activity schedule (choice
D) are important interventions but should come after identifying the triggers to ensure they are tailored to the individual's specific needs.