Question

A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?

Answer 1

Correct Answers:

An adult client following a suicide attempt

Rationale :

🟢 Seclusion is contraindicated for clients who are at risk for self-harm, such as those recovering from a suicide attempt.

🟢 Isolation could increase suicidal ideation, promote feelings of hopelessness, and reduce supervision.

🟢 These clients require close observation, one-to-one monitoring, and supportive care, not seclusion.

🟢 The goal is to reduce risk and enhance safety, not intensify distress.

🟢 Seclusion is typically used for agitation or aggression, not suicidal behavior.

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Answer 2

Correct Answers:

Dysrhythmias

Rationale :

🟢 Haloperidol can prolong the QT interval, which increases the risk of developing cardiac dysrhythmias.

🟢 It is especially important to monitor clients with cardiac conditions or who are on other QT-prolonging drugs.

🟢 ECG monitoring should be considered for clients receiving high doses or IV forms of haloperidol.

🟢 Symptoms of dysrhythmias may include dizziness, palpitations, or syncope.

🟢 This adverse effect is life-threatening and should be addressed immediately.

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Answer 3

Correct Answers:

7

Rationale :

🟢 Use the formula:

(Desired dose ÷ Available dose) × Volume

(350 mg ÷ 250 mg) × 5 mL

7 mL.

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Answer 4

Correct Answers:

A client runs 4 miles outdoors every afternoon.

Rationale :

🟢 Excessive sweating and fluid loss during exercise can lower sodium levels, increasing the risk of lithium toxicity.

🟢 Lithium and sodium are excreted through the kidneys, and dehydration can concentrate lithium in the blood.

🟢 Clients should be instructed to maintain adequate hydration and moderate activity levels.

🟢 Symptoms of lithium toxicity include tremors, nausea, ataxia, and confusion.

🟢 This is a preventable risk factor with appropriate patient education.

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Answer 5

Correct Answers:

The partner has lost 20 lb in the past 2months.

Rationale :

🟢 Unintentional weight loss is a classic indicator of caregiver role strain and stress.

🟢 It may reflect poor self-care, depression, or overwhelming burden from caregiving responsibilities.

🟢 This warrants further assessment, support, and possibly referral to social services.

🟢 Caregivers of clients with Alzheimer’s disease are at high risk of burnout.

🟢 Physical symptoms like weight loss suggest unsustainable caregiver burden.

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Answer 6

Correct Answers:

0.75

Rationale :

🟢 Use the formula:

(Desired dose ÷ Available concentration)

(75 mg ÷ 100 mg/mL)

0.75 mL.

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Answer 7

Correct Answers:

"It sounds like you're having a difficult time."

Rationale :

🟢 This response demonstrates therapeutic communication by showing empathy and validation of the client’s emotions.

🟢 It encourages the client to continue expressing their concerns and builds rapport.

🟢 Open-ended and non-judgmental statements are preferred for clients with anxiety.

🟢 The goal is to provide a safe environment for emotional exploration.

🟢 Avoid asking “why” or giving premature advice early in assessment.

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Answer 8

Correct Answers:

"Tell me more about your feelings about what happened to your partner."

Rationale :

🟢 This response uses open-ended therapeutic communication to allow the partner to express emotions.

🟢 It helps the nurse assess for guilt, trauma, or risk of depression, while offering support.

🟢 Avoiding judgment and offering space to talk promotes healing and trust.

🟢 The question focuses on feelings, not assumptions or minimizing statements.

🟢 Encouraging emotional exploration can help in crisis intervention.

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Answer 9

Correct Answers:

"l may have a dry mouth while taking this medication."

Rationale :

🟢 Chlorpromazine, a first-generation antipsychotic, has anticholinergic effects like dry mouth, constipation, and blurred vision.

🟢 Educating clients about expected side effects helps improve medication adherence.

🟢 This knowledge prepares the client to manage symptoms with comfort measures, such as sips of water or sugar-free gum.

🟢 Anticholinergic effects are common but manageable.

🟢 Knowing these side effects improves safety and confidence with new prescriptions.

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Answer 10

Correct Answers:

Remain with the client.

Rationale :

🟢 Staying with the client demonstrates presence and support, which is crucial during acute anxiety or agitation.

🟢 The client’s nonverbal signs (head down, wringing hands, pacing) show emotional distress.

🟢 Physical presence can help reduce feelings of isolation and panic.

🟢 It also allows the nurse to monitor for worsening symptoms or risk of self-harm.

🟢 This approach is non-invasive and therapeutic, enhancing trust.

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RN ATI Mental Health Exam

No.

1 :
A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?

2 :
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

3 :
A nurse is preparing to minister amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

4 :
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse could teach the client which of the following factors puts her at risk for lithium toxicity?

5 :
A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?

6 :
A nurse is preparing to administer haloperidol 75 mg 1M per week. Available is haloperidol decanoate 100mg/ml for injection. How many ml should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies.)

7 :
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

8 :
A nurse is admitting a client who has multiple injuries following a motor vehicle crash. Shortly after admission, the clients partner arrives. He is distraught and blames himself for the accident. Which of the following responses should the nurse make?

9 :
A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following client statements indicates an understanding of the teaching?

10 :
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?

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RN ATI Mental Health Exam

No.

1 : A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?

2 : A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

3 : A nurse is preparing to minister amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

4 : A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse could teach the client which of the following factors puts her at risk for lithium toxicity?

5 : A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?

6 : A nurse is preparing to administer haloperidol 75 mg 1M per week. Available is haloperidol decanoate 100mg/ml for injection. How many ml should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies.)

7 : A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

8 : A nurse is admitting a client who has multiple injuries following a motor vehicle crash. Shortly after admission, the clients partner arrives. He is distraught and blames himself for the accident. Which of the following responses should the nurse make?

9 : A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following client statements indicates an understanding of the teaching?

10 : A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?

1 :
A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?

2 :
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

3 :
A nurse is preparing to minister amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

4 :
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse could teach the client which of the following factors puts her at risk for lithium toxicity?

5 :
A nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?

6 :
A nurse is preparing to administer haloperidol 75 mg 1M per week. Available is haloperidol decanoate 100mg/ml for injection. How many ml should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies.)

7 :
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

8 :
A nurse is admitting a client who has multiple injuries following a motor vehicle crash. Shortly after admission, the clients partner arrives. He is distraught and blames himself for the accident. Which of the following responses should the nurse make?

9 :
A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following client statements indicates an understanding of the teaching?

10 :
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head down, and he is wringing his hands. Which of the following actions should the nurse take?