ATI RN
ATI N200 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
A client who has just been raped arrives at the Emergency Room. The client is crying pacing and cursing their attacker. Which is the priority therapeutic statement for the nurse to make?
Correct Answer: A
Rationale: Reassuring safety addresses immediate fear and builds trust.
Choice B is secondary to emotional stabilization.
Choices C and D introduce procedural stress prematurely.
Question 2 of 5
A client with depression is prescribed bupropion. Which instruction should the nurse include?
Correct Answer: A
Rationale: Bupropion lowers seizure threshold and alcohol increases this risk so avoidance is key.
Choice B is incorrect as it’s taken in the morning to avoid insomnia.
Choice C is incorrect as weight loss is more common.
Choice D is inappropriate as caffeine may worsen side effects.
Question 3 of 5
The spouse of a client who is diagnosed with an alcohol use disorder requests information from the nurse about support groups to help the family cope with the effects of the client's drinking on the family. Which statement by the spouse would suggest the teaching has been effective?
Correct Answer: C
Rationale: Al-Anon is designed for family members of those with alcohol use disorder offering support and coping strategies.
Choice A is incorrect as AA closed meetings are for alcoholics only.
Choice B is incorrect as family support is beneficial regardless of the client’s readiness.
Choice D is incorrect as Al-Anon specifically supports families not just the client.
Question 4 of 5
A client with alcohol use disorder is at risk for Wernicke’s encephalopathy. Which intervention is most appropriate?
Correct Answer: A
Rationale: Thiamine deficiency causes Wernicke’s encephalopathy so high-dose thiamine is critical.
Choice B is irrelevant to prevention.
Choice C does not address thiamine needs.
Choice D is important but secondary to thiamine administration.
Question 5 of 5
A client with major depressive disorder has been taking fluoxetine an SSRI for 5 weeks. During the first outpatient visit the client smiles and states "I feel like a great weight is off my chest." How should the nurse interpret this behavior change?
Correct Answer: A
Rationale: Fluoxetine typically takes 4-6 weeks to show full effects. The client’s positive statement aligns with this timeline indicating the medication is alleviating depressive symptoms.
Choice B is incorrect as the positive demeanor does not suggest suicidal planning though monitoring is needed.
Choice C is unwarranted as the response indicates effectiveness not a need for adjustment.
Choice D is incorrect as serotonin syndrome presents with severe symptoms like agitation not relief.