ATI RN
ATI RN Mental Health 2023 III Questions
Question 1 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. The nurse should ask which of the following individuals to assist with communication?
Correct Answer: B
Rationale: The correct answer is B: A translator of the same gender as the client. This choice is the most appropriate because it ensures effective communication while also considering the client's comfort and cultural sensitivity. The translator will help bridge the language barrier, ensuring accurate understanding and expression of thoughts and feelings. Choosing a translator of the same gender can further enhance the client's comfort level and promote trust within the group. This option prioritizes clear communication and respects the client's needs.
Choice A is not ideal as the unit secretary may not have the necessary language proficiency for effective communication.
Choice C, another client, may not be reliable or appropriate for maintaining confidentiality.
Choice D, a family member, could introduce potential conflicts of interest and may not be impartial.
Question 2 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "It must be difficult for you to feel this way after losing your partner." This response validates the partner's feelings without dismissing or minimizing them. It acknowledges the partner's struggle with guilt and offers empathy and understanding. It recognizes the complexity of grief and allows the partner to express their emotions.
Incorrect responses:
A: This response jumps to a solution without acknowledging the partner's emotions first.
B: This response shifts the focus to the nurse's personal experience, which may not be relevant or helpful to the partner.
D: This response dismisses the partner's feelings and may come across as invalidating.
Question 3 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because informing the counselor about trouble sleeping is crucial in relapse prevention for schizophrenia. Sleep disturbances can signal an impending relapse, and early intervention can prevent exacerbation of symptoms.
Choice A is incorrect as encouraging listening to hallucinations can worsen symptoms.
Choice B is incorrect as isolation can lead to increased stress and exacerbation of symptoms.
Choice C is incorrect as avoiding television does not address the underlying issue.
Question 4 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: B
Rationale: The correct answer is B: Chlordiazepoxide. During acute alcohol withdrawal, chlordiazepoxide, a benzodiazepine, is commonly prescribed to manage symptoms such as anxiety, tremors, and seizures by acting on GABA receptors to reduce CNS excitability. Disulfiram (
A) is used for alcohol aversion therapy and can cause a severe adverse reaction if alcohol is consumed. Buprenorphine (
C) is used for opioid addiction, not alcohol withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for alcohol withdrawal.
Question 5 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Initiate fall precautions for the client. Lorazepam is a benzodiazepine that can cause drowsiness, dizziness, and impair coordination. Initiating fall precautions is essential to prevent the client from falling and injuring themselves due to these side effects. Instructing the client to expect ringing in the ears (choice
A) is not relevant to lorazepam administration. Placing the client in restraints (choice
B) is not appropriate and can be considered a restraint of freedom. Repeating the dose in 15 minutes (choice
C) is not recommended as it can lead to an overdose.