ATI PN MENTAL HEALTH PROCTORED ACTUAL EXAM 110 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
ATI PN MENTAL HEALTH PROCTORED 2023-2024
ACTUAL EXAM 110 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client in a day treatment program. Which of the following
actions should the nurse take? (Click on the exhibit tabs for additional information
about the client. There are three tabs that contain separate categories of data)
A. Request transport for the client to an emergency department.
B. Place a hypothermia blanket on the client. (There is no indication that a
hypothermia blanket is necessary for this client.)
C. Discontinue the client’s fluoxetine therapy immediately. (Fluoxetine should not
be discontinued abruptly because this can cause the client to exhibit manifestations
of withdrawal.)
D. Implement droplet precautions for the client. (There is no indication for the
implementation of droplet precautions for this client. Droplet precautions are used
for clients who have diseases that are transmitted by large droplets that are
expelled into the air.) – ANSWER- A. Request transport for the client to an
emergency department. (The nurse should request transport for the client to
the nearest emergency department because the client has manifestations of
serotonin syndrome. Serotonin syndrome is a life-threatening syndrome and is
caused by an over activation of the central serotonin receptors. This is related
to interactions with taking an SSRI and trazodone along with St. John’s wort.
Manifestations of serotonin syndrome include hypertension, tachycardia,
vomiting, abdominal pain, and mental status changes.)
A nurse is preparing to administer clozapine for the first time to a client who has
schizophrenia. The nurse explains the therapeutic and adverse effects of the
medication to the client prior to administration. which of the following ethical
concepts is the nurse demonstrating?
A. Autonomy (Autonomy involves respecting the client’s right to make their own
decision. The nurse is currently providing information. The client has not made a
decision yet about taking the medication.)
B. Justice (Justice means distributing care or resources equally among clients or
groups of clients. The nurse is currently caring for an individual client who
requires information about a prescribed medication.)
C. Veracity
D. Confidentiality (Confidentiality means respecting the client’s privacy regarding
personal issues. The nurse should uphold this ethical principle when making
decisions about sharing client information with others.) – ANSWER- C. Veracity
(Veracity is the duty to tell the truth. The nurse should uphold this ethical
principle when administering a new medication to a client by explaining the
therapeutic effects as well as the adverse effects. This action promotes a
trusting relationship between the nurse and the client, which enhances the
nurse’s primary commitment to the client of providing optimum, quality
care.)
A nurse is preparing to administer haloperidol 3 mg IM to a client. Available is
haloperidol solution 5 mg/mL. How many mL should the nurse plan to administer?
- ANSWER- 5 mg3 mg = 1 mL X mL
X mL = 0.6 mL
Step 7: Round if necessary
A nurse is caring for a client who has anxiety disorder and is refusing to take a
medication which of the following responses should the nurse make?
A. “This medication is safe for you to take.” (This response devalues the client’s
concerns, gives false reassurance, and discourages further communication about
the motivation behind the client’s refusal.)
B. “You have the right to refuse this medication.”
C. “You are presenting a risk to the other clients.” (This response places blame on
the client and rejects their choice without exploring the motivation behind it.)
D. “This medication is part of your treatment plan.” (This response fails to
encourage the client to explore their feelings of anxiety and to participate in
devising or accepting strategies to manage it) – ANSWER- B. “You have the right
to refuse this medication.” ( Clients have the right to refuse treatment,
including medications, unless the client undergoes a court hearing and the
judge decides that the client meets the criteria for involuntary medication
administration.)
A nurse is collecting data from a client who has paranoid personality disorder.
Which of the following manifestations should the nurse expect.
A. Preoccupied with perfectionism (The nurse should expect a client who has
obsessive-compulsive personality disorder to have manifestations of being
preoccupied with details.)
B. Uses attention-seeking behaviors (The nurse should expect a client who has
histrionic personality disorder to have manifestations of attention-seeking
behaviors.)
C. Exploitative of others (The nurse should expect a client who has antisocial
behavior to have manifestations of exploiting others.)
D. Projects blame onto others – ANSWER- D. Projects blame onto others (The
nurse should expect clients who have paranoid personality disorder to project
blame onto others rather than taking responsibility for their own actions.)
A nurse is caring for a client who is 2 days post-op following a hip arthroplasty.
When a news report about military action comes on the television, the client says
to the nurse. “My youngest child died 6 months ago while serving in the military.”
Which of the following responses should the nurse make? (Select all that apply)
A. “This must be a very difficult time for you.”
B. “Your child’s death must be a terrible loss.”
C. “It’s just awful what is going on in the world.” is incorrect. (This statement
demonstrates a nontherapeutic response because it changes the subject and diverts
attention away from the client’s grief. This belittles and invalidates the client’s
feelings.)
D. “You need to focus on getting better.” is incorrect. (This statement demonstrates
a nontherapeutic response because it negates the client’s feelings and makes the
assumption that the nurse knows best. This prevents problem-solving and can
cause the client to feel misunderstood, insignificant, and unsupported.)
E. “Tell me something you remember about your child.” – ANSWER- A. “This
must be a very difficult time for you.” (This statement demonstrates the use of
reflecting. Reflecting expresses the nurse’s observations of the client’s verbal and
nonverbal behaviors when discussing sensitive issues. This therapeutic
communication technique encourages clients to accept and embrace their own
feelings.)
B. “Your child’s death must be a terrible loss.” (This statement demonstrates
the use of reflecting. Reflecting expresses the nurse’s observations of the
client’s verbal and nonverbal behaviors when discussing sensitive issues. This
therapeutic communication technique encourages clients to accept and
embrace their own feelings.)
E. “Tell me something you remember about your child.” (This statement
demonstrates the use of exploring. Exploring acknowledges the client’s
feelings and facilitates communication between the client and the nurse.)
A nurse is assisting with screening a group of clients for major depressive disorder
(MDD). The nurse should identify that which of the following clients is at an
increased risk for the development of MDD?
A. A client who is newly employed. (There is a relationship between
socioeconomic class and depression. However, it is not proven that employment
status has an effect on the development of MDD.)
B. A client who abstains from alcohol (Clients who have alcohol or substance use
disorders are at an increased risk for developing MDD.)
C. A client who just gave birth
D. A client who has been married for 15 years (Clients who are married are at a
decreased risk for developing MDD. Marriage or close relationships have been
shown to have a calming effect on the well-being of an individual’s psychological
status when compared to those who are single or who lack a close relationship with
another person) – ANSWER- C. A client who just gave birth (Clients who just gave
Powered by https://learnexams.com/search/study?query=