ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale: The correct answer is A: Set a specific limit on the number of times the client can check the door. This intervention helps establish boundaries and structure for the client, which can assist in reducing compulsive behaviors. By setting a specific limit, the client is encouraged to gradually decrease the checking behavior and learn to cope with the anxiety associated with uncertainty. This approach promotes independence and empowerment for the client.
Choice B is incorrect because finding an alternative activity does not directly address the obsessive checking behavior.
Choice C is incorrect as providing consistent reassurance reinforces the compulsive behavior.
Choice D is incorrect because ignoring the behavior does not actively address or help decrease the compulsive checking.
Question 2 of 5
A client with an eating disorder tells the RN, "I’ve been eating only 400 calories per day and have been taking diuretics to lose weight.” What is the RN’s best response?
Correct Answer: D
Rationale: The correct response is D: “The diuretics could be causing your body to lose essential nutrients.” This response addresses both the client’s low-calorie diet and the use of diuretics, highlighting the potential harm caused by the diuretics in depleting essential nutrients from the body. By focusing on the specific issue of nutrient loss, the nurse can educate the client on the dangers of using diuretics for weight loss and encourage seeking professional help. Options A, B, and C do not address the potential harm of diuretics and may not adequately address the severity of the situation. Option C is more general and may not directly address the issue of nutrient loss.
Question 3 of 5
A client with major depressive disorder is prescribed lithium carbonate. Which finding should the RN report to the healthcare provider?
Correct Answer: B
Rationale: The correct answer is B: Blood urea nitrogen (BUN) level of 16 mg/dL. This finding should be reported as it may indicate potential renal impairment, a common side effect of lithium carbonate. Elevated BUN levels can suggest decreased kidney function, which can lead to lithium toxicity.
A: A serum lithium level of 0.8 mEq/L is within the therapeutic range for lithium carbonate.
C: A serum sodium level of 138 mEq/L is within the normal range and not a concerning finding.
D: Urine output of 800 mL in 24 hours is a normal amount and not indicative of any immediate concerns related to lithium therapy.
Question 4 of 5
The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?
Correct Answer: D
Rationale: The correct answer is D. The CAGE questionnaire is a screening tool used to identify alcohol abuse. Each letter in CAGE stands for a key question: "Cut down," "Annoyed by criticism," "Guilty feelings," and "Eye-opener." These questions help assess the client's alcohol-related behaviors and attitudes. Exploring the client's efforts to cut down on drinking indicates acknowledgment of a potential issue. Annoyance with questions may suggest defensiveness or denial. Feelings of guilt can indicate internal conflict about drinking, and using alcohol as an "Eye-opener" can signal dependence.
Therefore, delving into these specific areas can provide valuable insights into the client's alcohol use patterns and potential problems.
Choices A, B, and C are incorrect as they do not align with the purpose of the CAGE questionnaire in identifying alcohol abuse behaviors and attitudes.
Question 5 of 5
A client who is admitted with a closed head injury after a fall has a blood alcohol level (BAL) of 0.28 (28%) and is difficult to arouse. Which intervention during the first 6 hours following admission should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Place in a side-lying position with head of bed elevated. This is the priority intervention because the client is difficult to arouse, indicating potential risk for airway compromise and aspiration due to the head injury and elevated BAL. Placing the client in a side-lying position with the head of the bed elevated helps prevent aspiration and promotes optimal airway management. Administering disulfiram (choice
B) is not indicated as the priority intervention in this acute situation. Giving lorazepam (choice
C) for signs of withdrawal may further depress the client's level of consciousness and is not the priority at this time. Providing thiamine and folate supplements (choice
D) is important for alcohol-related deficiencies but does not address the immediate risk of airway compromise.