ATI RN

1. During an acute panic attack, which intervention should the nurse implement?

• A. Encourage the client to discuss their feelings
• B. Provide a busy environment
• C. Teach the client deep breathing exercises
• D. Leave the client alone to calm down

Correct Answer: C

Rationale: During an acute panic attack, the priority interventions involve creating a calm and safe environment, teaching the client deep breathing exercises to promote relaxation and reduce hyperventilation, and administering prescribed anti-anxiety medications if indicated. Encouraging the client to discuss their feelings may exacerbate the panic, and providing a busy environment can increase stress. Leaving the client alone may lead to feelings of abandonment or escalate the panic attack.

2. A healthcare provider is assessing a client with suspected post-traumatic stress disorder (PTSD). Which of the following findings should the provider expect? Select one that does not apply.

• A. Flashbacks
• B. Avoidance of reminders of the trauma
• C. Increased arousal and hypervigilance
• D. Manic episodes

Correct Answer: D

Rationale: Post-traumatic stress disorder (PTSD) is characterized by various symptoms, including flashbacks, avoidance of reminders of the trauma, increased arousal, and hypervigilance. Additionally, individuals with PTSD often experience negative changes in thoughts and mood. Manic episodes, which are periods of abnormally elevated mood and energy, are not typically associated with PTSD.

3. A client with bipolar disorder is experiencing a manic episode. Which of the following interventions should the nurse implement? Select one that does not apply.

• A. Provide a structured environment
• B. Encourage rest periods
• C. Limit setting on inappropriate behaviors
• D. Allow the client to engage in stimulating activities

Correct Answer: D

Rationale: During a manic episode, it is essential to provide a structured environment to help the client maintain stability. Encouraging rest periods is crucial as excessive activity during mania can lead to exhaustion. Setting limits on inappropriate behaviors helps ensure the client's safety and the safety of others. However, allowing the client to engage in stimulating activities can exacerbate manic symptoms by further increasing their energy levels and impulsivity. Therefore, it is not an appropriate intervention during a manic episode.

4. Which of the following are common side effects of selective serotonin reuptake inhibitors (SSRIs)? Select one that does not apply.

• A. Nausea
• B. Insomnia
• C. Weight loss
• D. Sexual dysfunction

Correct Answer: C

Rationale: Common side effects of selective serotonin reuptake inhibitors (SSRIs) include nausea, insomnia, weight gain, and sexual dysfunction. Weight loss is not a common side effect associated with SSRIs.

5. A healthcare professional is planning care for a client with schizophrenia. Which of the following interventions should be included in the plan of care?

• A. Encourage reality testing
• B. Provide opportunities for socialization
• C. Monitor for command hallucinations
• D. Promote adherence to medication regimen

Correct Answer: A

Rationale: When caring for a client with schizophrenia, it is crucial to encourage reality testing. This intervention helps the client differentiate between their delusions and reality. Providing opportunities for socialization can help reduce feelings of isolation, monitoring for command hallucinations is important for ensuring the client's safety, and promoting adherence to the medication regimen is essential for managing symptoms. It is important to address delusional thoughts in a therapeutic manner rather than discouraging them outright.