ATI RN
Mental Health ATI Book Questions
Question 1 of 4
A nurse is working with a client who is addicted to heroin. The nurse engages in harm reduction by teaching the client about which of the following?
Correct Answer: A
Rationale: The correct answer is A: Using bleach solution to disinfect dirty needles. This is an important harm reduction strategy for individuals addicted to heroin as it helps reduce the risk of infections such as HIV and hepatitis. It is crucial for the nurse to educate the client on safe needle hygiene practices to prevent further health complications. Choices B, C, and D are incorrect as problem solving, healthy coping skills, and naltrexone are not directly related to harm reduction strategies specifically for heroin addiction.
Question 2 of 4
The nurse is caring for a homeless client who has been seen in the mobile clinic every week for the past month because of a foot infection. Which nursing diagnosis would the nurse most likely identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Ineffective Health Maintenance related to homelessness. This is the priority nursing diagnosis because the client's foot infection needs immediate attention to prevent complications. Ineffective Health Maintenance addresses the client's inability to manage health and seek medical care, which is crucial in this case. A: Social Isolation is not the priority as the client is receiving regular care and interaction in the mobile clinic. C: Chronic Low Self-Esteem may be a concern but is not as urgent as addressing the foot infection. D: Imbalanced Nutrition is not directly related to the client's current issue of a foot infection.
Question 3 of 4
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?
Correct Answer: B
Rationale: The correct answer is B: Prescribe psychotropic medication. Advanced practice nurses, such as psychiatric nurse practitioners, have prescriptive authority to prescribe medications in psychiatric settings. This intervention requires advanced knowledge and specialized training. Conducting mental health assessments (A) and establishing therapeutic relationships (C) are within the scope of practice for staff nurses and do not require advanced practice credentials. Individualizing nursing care plans (D) is also a standard nursing practice that does not necessarily require advanced practice training. In summary, prescribing psychotropic medication is the additional intervention that an advanced practice nurse would perform in a psychiatric unit, distinguishing their role from that of a staff nurse.
Question 4 of 4
A nurse is providing dietary teaching for a client who has hepatic encephalopathy. Which of the following food selections indicates that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: Rice with black beans. This choice is correct because it is a high-fiber, plant-based meal that is low in protein, which is important for a client with hepatic encephalopathy. Rice and black beans provide complex carbohydrates and fiber, aiding in ammonia detoxification without increasing protein intake. The other choices are incorrect because: A: A sandwich and milkshake are high in protein and may exacerbate hepatic encephalopathy. C: Cottage cheese and tuna lettuce are high in protein, which can lead to increased ammonia production. D: Three-egg omelette with low-sodium ham is high in protein, which is not recommended for clients with hepatic encephalopathy.