ATI RN
ATI N200 Mental Health Exam 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A fifteen-year-old was referred to the adolescent mental health clinic after being arrested for prostitution. The client's parents reported that they have run away several times and are abusive towards them. The nurse should anticipate that the diagnosis will be:
Correct Answer: C
Rationale: Conduct Disorder matches the severe behaviors like running away and prostitution.
Choice A is less likely to cause such antisocial actions.
Choice B involves defiance but not to this extent.
Choice D does not typically include rule-breaking behaviors.
Question 3 of 5
What is the most important factor for the nurse to assess when doing an admission assessment of a client with a history of alcoholism?
Correct Answer: D
Rationale: Knowing the last drink time is critical to predict and manage withdrawal symptoms which can start 4-6 hours post-drink.
Choices A B and C are important but secondary to immediate withdrawal risk.
Question 4 of 5
A nurse is assessing a client suspected of having antisocial personality disorder. Which behavior is most indicative?
Correct Answer: A
Rationale: Lack of empathy is a core feature of antisocial personality disorder.
Choice B relates to social anxiety.
Choice C is typical of narcissistic personality disorder.
Choice D suggests depression not personality disorder.
Question 5 of 5
A client with a history of opioid use disorder is found unresponsive. Which medication should the nurse prepare to administer?
Correct Answer: A
Rationale: Naloxone reverses opioid overdose restoring respiration in unresponsive clients.
Choice B is for maintenance therapy.
Choice C is for withdrawal management.
Choice D prevents relapse but is not for acute overdose.