ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription?
Correct Answer: A
Rationale: The correct answer is A. Clonidine is a medication commonly prescribed for managing symptoms of alcohol withdrawal. Since it can lower blood pressure, it is crucial to monitor the client's blood pressure regularly. In this case, the client's blood pressure readings of 90/62 mmHg to 92/58 mmHg are low, indicating hypotension. Administering clonidine in this situation can further decrease blood pressure, potentially causing adverse effects like dizziness, light-headedness, or even fainting.
Therefore, the RN should withhold the clonidine prescription to prevent exacerbating hypotension.
Choices B, C, and D are within normal ranges and do not contraindicate the use of clonidine in this scenario.
Question 2 of 5
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This is important to prevent aspiration during ECT, as anesthesia is often used and the client must have an empty stomach. Holding all bedtime medications (choice
A) is not necessary unless specified by the healthcare provider. Implementing elopement precautions (choice
C) is not relevant to ECT procedure. Giving the client an enema at bedtime (choice
D) is unnecessary and not indicated for ECT preparation.
Question 3 of 5
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?
Correct Answer: D
Rationale: The correct answer is D: Beef tips with gravy. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine-rich foods, potentially causing hypertensive crisis. Beef tips with gravy contain high levels of tyramine, which can lead to a dangerous spike in blood pressure when combined with MAOIs. Pan-seared catfish, pepperoni pizza, and deep-fried shrimp are not typically high in tyramine and do not pose the same risk.
Therefore, the RN should instruct the client to avoid beef tips with gravy to prevent complications.
Question 4 of 5
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN?
Correct Answer: A
Rationale: The correct answer is A because attempting to physically restrain a client with escalating aggressive behavior can escalate the situation further, leading to potential harm to both the client and the mental health worker. Physical restraint should only be used as a last resort and under the guidance of a registered nurse to ensure safety and prevent harm.
Choices B, C, and D are not immediate interventions for managing escalating aggressive behavior. Remaining at a distance of 4 feet, telling the client to go to a quiet area, or using a loud voice are not effective strategies to de-escalate the situation and may not address the root cause of the aggression.
Question 5 of 5
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
Correct Answer: A
Rationale: The correct answer is A: Not sleeping for several days. This is the most important client statement to explore because it indicates the client may be experiencing severe sleep disturbances, which can have a significant impact on their mental and physical health. Lack of sleep can exacerbate symptoms of depression and increase the risk of self-harm or suicide.
Therefore, the RN should prioritize exploring this issue to assess the client's safety and provide appropriate interventions.
Choices B, C, and D are also important concerns related to grief and depression, but the immediate risk associated with severe sleep deprivation makes option A the most critical to address first. It is essential to address all client statements eventually, but the urgency of the client's sleep disturbances requires immediate attention.