ATI RN
ATI N200 Mental Health Exam 2 Questions
Question 1 of 5
Several children come to the Emergency Department for treatment. The situation that would cause the nurse to have the highest suspicion of child abuse would be:
Correct Answer: A
Rationale: The correct answer is A: Several visits of the same child with varied injuries. This situation raises suspicion of child abuse because multiple injuries of different types suggest a pattern of non-accidental trauma. It indicates a high likelihood of intentional harm or neglect. In contrast, choice B describes a common scenario of a child seeking comfort from a parent after an injury.
Choice C, a dislocated shoulder from innocent play, is less indicative of abuse.
Choice D, repeated visits for ear infections, is unrelated to physical abuse.
Question 2 of 5
When assessing a client diagnosed with narcissistic personality disorder the nurse expects to identify which characteristic behavior?
Correct Answer: A
Rationale: The correct answer is A: Grandiose sense of self-importance. This is a key characteristic of narcissistic personality disorder. Individuals with this disorder have an inflated view of themselves, believing they are superior to others. They often seek admiration and validation from others to feed their ego. This behavior is central to the diagnosis of narcissistic personality disorder.
Choice B is incorrect as intense and chaotic relationships are more characteristic of borderline personality disorder.
Choice C is incorrect as submissive and clinging behaviors are more typical of dependent personality disorder.
Choice D is incorrect as odd beliefs and magical thinking are more associated with schizotypal personality disorder. It is important for nurses to recognize the specific behaviors associated with each personality disorder to provide appropriate care and interventions.
Question 3 of 5
A client with depression is prescribed bupropion. Which instruction should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Avoid alcohol to prevent seizures. Bupropion lowers the seizure threshold, and alcohol can further increase this risk.
Therefore, instructing the client to avoid alcohol is crucial for their safety.
Choice B is incorrect as bupropion can be activating and may interfere with sleep if taken at bedtime.
Choice C is incorrect as weight loss is a common side effect of bupropion.
Choice D is incorrect as increasing caffeine intake can exacerbate bupropion's stimulant effects and increase the risk of side effects such as insomnia or restlessness.
Question 4 of 5
The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. Which screening tool should the nurse use to further evaluate this possibility?
Correct Answer: A
Rationale: The correct answer is A: The CAGE Questionnaire. The CAGE Questionnaire is a well-established screening tool specifically designed to assess alcohol misuse. The questionnaire consists of four simple questions that can quickly identify individuals who may have an alcohol use disorder. By using this tool, the nurse can gather crucial information about the client's drinking habits and assess the likelihood of a drinking problem.
Summary of why the other choices are incorrect:
B: The Abnormal Involuntary Movement Scale is used to assess movement disorders such as tardive dyskinesia, not alcohol use disorder.
C: The Clinical Institute Withdrawal Assessment Scale is used to assess alcohol withdrawal symptoms in individuals already known to have alcohol dependence, not for initial screening.
D: Referring the client for physician evaluation is important but does not provide a specific screening tool to assess alcohol use disorder directly.
Question 5 of 5
A client with alcohol withdrawal is prescribed diazepam. What is the primary purpose of this medication?
Correct Answer: A
Rationale: The correct answer is A: Prevent seizures. Diazepam is a benzodiazepine commonly used in alcohol withdrawal to prevent seizures due to its anticonvulsant properties. It acts by increasing the activity of gamma-aminobutyric acid (GAB
A) to reduce abnormal electrical activity in the brain. Improving appetite (
B) is not the primary purpose of diazepam in alcohol withdrawal. Reducing blood pressure (
C) is not a primary effect of diazepam. Enhancing sleep quality (
D) may occur as a secondary effect but is not the primary purpose in alcohol withdrawal.