ATI RN
ATI nsg 133 Mental Health Exam 2 Questions
Question 1 of 5
A nurse is caring for a client who is withdrawing from a stimulant. Which of the following should be prioritized for safety in a client with stimulant withdrawal?
Correct Answer: D
Rationale: The correct answer is D because a client going through stimulant withdrawal can be at high risk for self-harm or harm to others due to the psychological and physiological effects of withdrawal. This is a priority for safety because the client may experience agitation, aggression, impulsivity, and irrational behavior. Addressing the risk of self-harm or harm to others is crucial to prevent any potential harm to the client or those around them.
Other choices are less prioritized:
A: Withdrawal symptoms are important but ensuring safety from harm takes precedence.
B: Hallucinations may occur but are secondary to the immediate risk of harm.
C: Traumatic re-experiencing is a concern, but the imminent risk of self-harm or harm to others is more critical.
Question 2 of 5
A nurse is caring for a client who has been taking Xanax (alprazolam) for anxiety. The nurse anticipates which of the following?
Correct Answer: A
Rationale: The correct answer is A: The client's at-home dose should be decreased. Xanax (alprazolam) is a benzodiazepine used for anxiety, but long-term use can lead to tolerance and dependence.
To prevent these issues, the dose should be periodically decreased. This helps maintain the drug's effectiveness and reduces the risk of dependence and withdrawal symptoms. Increasing the dose (option
B) can worsen tolerance and dependency. Xanax (alprazolam) does cause dependency (option
C), contrary to the statement. Adding Ativan (Lorazepam) (option
D) is not indicated without assessing the client's response to Xanax first.
Question 3 of 5
A nurse is caring for a client diagnosed with a depressive disorder, who is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Determine the presence and degree of suicidal risk. This is the priority intervention because the client is at high risk for suicide due to the combination of depressive disorder, alcohol withdrawal, and recent job loss. Assessing suicidal risk is crucial to ensure the client's safety. Referring to a mental health provider (option
A) can be important but not as immediate as assessing for suicide risk. Identifying support groups (option
C) and assisting the client with identifying negative effects of chemical dependency (option
D) are important interventions but not the priority in this situation.
Question 4 of 5
A nurse is caring for a client who is depressed and refuses to participate in group therapy or perform activities of daily living. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: The correct answer is C: "I will assist you in getting out of bed and getting dressed." This statement shows empathy and a willingness to help the client without being forceful or confrontational. By offering assistance, the nurse acknowledges the client's feelings and offers support in a non-judgmental way, which can help build trust and rapport.
Choice A is incorrect because it is authoritative and may come across as punitive, which could further alienate the client.
Choice B is incorrect as it enables the client to remain in bed without addressing the underlying issues.
Choice D is incorrect as it uses a threatening approach that could increase the client's resistance and feelings of hopelessness.
Question 5 of 5
A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
Correct Answer: B
Rationale: The correct answer is B: Alcohol. Alcohol is the primary cause of liver cirrhosis due to its toxic effects on the liver over time. Chronic alcohol consumption leads to liver inflammation, scarring, and eventually cirrhosis. Caffeine (choice
A), inhalants (choice
C), and cocaine (choice
D) do not directly cause liver cirrhosis. Caffeine is metabolized by the liver but does not lead to cirrhosis. Inhalants primarily affect the respiratory system, and cocaine can lead to cardiovascular complications but not liver cirrhosis. It is crucial for the nurse to emphasize the harmful effects of alcohol on the liver during the community education course.