ATI RN
ATI Mental Health Proctored Exam 2023
1. Luc's family comes home one evening to find him extremely agitated, and they suspect he is in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?
- A. Hypodermic needles
- B. Fast food wrappers
- C. Empty soda cans
- D. Energy drink containers
Correct answer: D
Rationale: Energy drink containers are often associated with exacerbating manic episodes due to their high caffeine content, which can worsen symptoms of agitation and restlessness.
2. Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient's nursing diagnosis is altered thought processes?
- A. I know you say you hear voices, but I cannot hear them.
- B. Stop listening to the voices, they are NOT real.
- C. You say you hear voices, what are they telling you?
- D. Please tell the voices to leave you alone for now.
Correct answer: C
Rationale: Asking about the content of the voices helps understand the patient's experience and assess risk.
3. Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? Select one that doesn't apply.
- A. Monitor the patient's vital signs frequently.
- B. Keep the patient distracted with group-oriented activities.
- C. Provide the patient with frequent milkshakes and protein drinks.
- D. Reduce the volume on the television and dim bright lights in the environment.
Correct answer: B
Rationale: When caring for a patient demonstrating manic behavior, it is crucial to monitor vital signs frequently to ensure the patient's physical health is stable. Providing nutrition, such as milkshakes and protein drinks, is essential to meet the patient's dietary needs. Diminishing environmental stimuli by reducing the volume on the television and dimming bright lights can help create a calmer environment. However, keeping the patient distracted with group-oriented activities may not be the most appropriate intervention as it could potentially exacerbate the manic behavior by overstimulating the patient. Therefore, this choice is the one that doesn't apply in managing manic behavior effectively.
4. Which statement made by the patient demonstrates an understanding of the effective use of newly prescribed lithium to manage bipolar mania? Select one that doesn't apply.
- A. I remind myself to consistently drink six 12-ounce glasses of fluid every day.
- B. I discussed the diuretic prescribed by my cardiologist with my psychiatric care provider.
- C. Lithium may help me lose the few extra pounds I tend to carry around.
- D. I take my lithium on an empty stomach to help with absorption.
Correct answer: C
Rationale: Proper hydration, discussing other medications, and taking lithium with or without food are important for effective and safe use of lithium. However, lithium is not prescribed for weight loss, and its usage should not be associated with losing extra pounds.
5. Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective?
- A. I hope Wellbutrin will help my depression and also help me to finally quit smoking.
- B. I'm happy to hear that I won't need to worry too much about weight gain.
- C. It's okay to take Wellbutrin since I haven't had a seizure in 6 months.
- D. I need to be careful about driving since the medication could make me drowsy.
Correct answer: A
Rationale: Choice A is the correct answer because it shows that the patient understands the dual benefits of bupropion (Wellbutrin) in treating depression and aiding in smoking cessation. Bupropion is commonly prescribed for these reasons as it has a lower risk of weight gain compared to other antidepressants. Choices B, C, and D are not the most appropriate because they do not specifically reflect the benefits or key information related to bupropion therapy.
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