ATI RN
RN Mental Health 2023 ATI Proctored Questions
Question 1 of 5
A 20-year-old man arrives at the emergency department by ambulance. He is unconscious, with slow respirations and pinpoint pupils. There are 'tracks' visible on his arms. The friend who came with him reports that the client had just 'shot up' heroin when he became unconscious. Which medication would the nurse most likely expect to administer?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Naloxone is a medication used to reverse opioid overdose by blocking opioid receptors in the brain. In this case, the man's symptoms of slow respirations and pinpoint pupils are indicative of opioid overdose. Naloxone can quickly restore normal breathing and consciousness. Naltrexone (B) is used for opioid addiction treatment but not for acute overdose reversal. Bupropion (C) is an antidepressant and smoking cessation aid, not indicated for opioid overdose. Varenicline (D) is a smoking cessation aid and is not used for opioid overdose reversal.
Question 2 of 5
A nurse is planning care for a client with a sealed radiation implant who is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?
Correct Answer: B
Rationale: Step-by-step rationale for the correct answer B: 1. Wearing a dosimeter film badge helps monitor the nurse's radiation exposure. 2. This is important as the nurse will be in close proximity to the client with the radiation implant. 3. The badge will measure the nurse's radiation exposure levels to ensure they are within safe limits. 4. This precaution is crucial to protect the nurse's health during the client's stay. Summary of why other choices are incorrect: A: Removing dirty linens does not directly relate to radiation safety for the nurse. C: Limiting client visits does not address the nurse's radiation exposure. D: Ensuring family members stay 3 feet away does not protect the nurse from radiation exposure.
Question 3 of 5
A new graduate nurse is considering taking a job that focuses on meeting the mental health needs of homeless populations. During the graduate nurse's pre-employment interview, the graduate nurse asks the interviewer what characteristics are common in this population. Which response by the interviewer would be most likely?
Correct Answer: B
Rationale: The correct answer is B because homeless populations come from diverse backgrounds and often face chronic illnesses and unemployment. This response acknowledges the variability within the homeless population and highlights common challenges they may face. Option A makes assumptions about education and employment, which are not necessarily true for all homeless individuals. Option C stereotypes the population as having squandered their resources, which is not accurate for everyone. Option D incorrectly focuses on elderly individuals and downplays the prevalence of addiction and mental illness among the homeless. Overall, choice B provides a balanced and realistic view of the characteristics commonly found in homeless populations.
Question 4 of 5
A nurse is preparing to assess a middle-aged male client who was brought to the emergency department by his wife. She reports that the client has been extremely depressed lately. When assessing this client, which of the following would be a priority assessment?
Correct Answer: B
Rationale: The correct answer is B: Thoughts of self-harm. This is the priority assessment because it indicates the client's risk of harm to himself. Assessing for self-harm is crucial in determining the immediate safety of the client. Changes in sleeping patterns, appetite, and fatigue are important assessments in evaluating depression but do not directly address the client's immediate safety. It is essential to address the most critical issue first to ensure the client's well-being.
Question 5 of 5
A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:
Correct Answer: C
Rationale: Rationale: Choice C is correct as it demonstrates active listening and encourages the patient to elaborate on their feelings, promoting therapeutic communication. It acknowledges the patient's emotions and seeks clarification to better understand their experience. This response shows empathy and validates the patient's feelings, fostering trust and rapport. Choices A and D lack empathy and may come off as dismissive or directive. Choice B focuses on the cause of anxiety rather than addressing the immediate emotional distress.