ATI RN
Mental Health Final ATI Questions
Question 1 of 5
As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?
Correct Answer: A
Rationale: The correct answer is A: Problem stimulating usual problem solving. In crisis intervention, the first phase is when the individual encounters a problem that triggers their usual problem-solving skills. This initial phase involves recognizing the crisis and attempting to assess and address the problem. This sets the stage for further crisis intervention strategies. Choices B, C, and D are incorrect: B: Trial and error attempts to alleviate problem - This typically occurs after the crisis has been recognized and initial problem-solving attempts have been made. C: Automatic relief behaviors take over - This is more likely to be a coping mechanism employed after the crisis has escalated and the individual is seeking immediate relief. D: Serious personality disorganization - This usually occurs in the later stages of a crisis when the individual's ability to cope is severely compromised.
Question 2 of 5
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse has explained the drug's purpose to the client. The nurse determines that the client has understood the instructions when the client identifies which of the following about the drug?
Correct Answer: C
Rationale: The correct answer is C: Reduces the appeal of alcohol. Naltrexone is an opioid antagonist that works by blocking the euphoric effects of alcohol, reducing cravings, and decreasing the desire to drink. By choosing this answer, the client demonstrates an understanding of naltrexone's mechanism of action in treating alcohol dependence. A: Causes itching if alcohol is consumed - This statement is incorrect. Naltrexone does not cause itching if alcohol is consumed. It works by blocking opioid receptors, not by producing physical side effects like itching. B: Produces the euphoria of alcohol - This statement is incorrect. Naltrexone actually blocks the euphoric effects of alcohol, making it less appealing and reducing the desire to drink. D: Improves appetite and nutritional status - This statement is incorrect. Naltrexone does not directly affect appetite or nutritional status. Its primary purpose is to help with alcohol dependence by reducing cravings and the pleasure associated with drinking.
Question 3 of 5
A client with erectile dysfunction who is prescribed sildenafil asks the nurse, 'When should I take the medication?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Take it about ½ to 2 hours before you have sexual activity." This is the most appropriate response because sildenafil takes about 30 minutes to 1 hour to start working, with peak effectiveness around 1 to 2 hours after ingestion. Taking it too early or too late can affect its efficacy. Choice A is incorrect as timing should be based on sexual activity, not just morning routine. Choice C is incorrect as 5 minutes is too short for sildenafil to take effect. Choice D is incorrect as taking it at night may not align with the intended purpose of improving erectile function during sexual activity.
Question 4 of 5
A nurse is talking with the husband of a female client diagnosed with Alzheimer's disease. During the conversation, the husband tells the nurse that she often begins to scream and curse for no apparent reason. The nurse interprets this as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Hypervocalization. In Alzheimer's disease, individuals may exhibit increased vocalization, including screaming and cursing, due to various factors such as confusion, frustration, or agitation. This behavior is known as hypervocalization. Choice A, hypersexuality, refers to inappropriate sexual behavior, not vocalization. Choice B, disinhibition, involves lack of restraint in behaviors, not specifically vocalization. Choice D, apathy, refers to lack of interest or emotion, not excessive vocalization. Therefore, the most appropriate interpretation in this scenario is hypervocalization due to Alzheimer's disease.
Question 5 of 5
The nurse is caring for four clients who are simultaneously being treated for chronic medical conditions and psychiatric conditions. Which client would the nurse anticipate as being most resistive to taking medications for both conditions?
Correct Answer: C
Rationale: The correct answer is C because the client who is convinced he is the president's twin brother may be experiencing delusions, a symptom of a psychiatric condition that could lead to resistance in taking medications. Delusions can alter one's perception of reality, making it challenging for the client to recognize the necessity of medications. A, B, and D do not demonstrate the same level of potential resistance to medication. A client exhibiting push of speech (A) may still understand the need for medication. Difficulty sleeping (B) is a common symptom that can be addressed with appropriate medication. Inability to establish eye contact (D) may indicate social difficulties but does not necessarily correlate with resistance to medication.