ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important in caring for a client with Alzheimer's disease to prevent them from wandering and getting lost. Placing locks at the tops of exterior doors can help ensure the client's safety by restricting their ability to leave the house unsupervised. This intervention is crucial in managing the risks associated with the client's cognitive impairment.
A: Replacing the carpet with hardwood floors may not directly address the safety concern of wandering in a client with Alzheimer's disease.
B: Encouraging physical activity prior to bedtime may not be directly related to the safety issue of wandering.
C: Wearing clothing with zippers instead of buttons may not significantly impact the client's safety in terms of wandering.
Overall, placing locks at the tops of exterior doors is the most appropriate action to address the safety needs of a client with Alzheimer's disease.
Question 2 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. It acts on the same brain receptors affected by alcohol, helping to alleviate withdrawal symptoms. Methadone (
A) is used for opioid dependence, Disulfiram (
B) is an aversion therapy for alcohol use disorder, and Bupropion (
D) is used for smoking cessation.
Question 3 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. This is important because individuals experiencing mania in bipolar disorder often have high energy levels, decreased need for sleep, and exhibit impulsive behaviors. Encouraging rest periods can help to regulate their energy levels and promote relaxation, which can aid in managing symptoms of mania.
Choice A is incorrect because placing the client in seclusion can exacerbate feelings of anxiety and agitation.
Choice B may not be effective as spending time in a dayroom may not address the client's need for rest.
Choice C is not appropriate as withdrawing TV privileges may not be directly related to managing mania symptoms.
In summary, encouraging the client to take frequent rest periods is the most appropriate intervention as it directly addresses the symptoms of mania by helping to regulate energy levels and promote relaxation.
Question 4 of 5
A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Document the client's behavior every 15 min. This is crucial to ensure the client's safety and well-being while in seclusion and restraints. Documenting behavior every 15 min allows the nurse to monitor for any changes in the client's condition, assess the effectiveness of the interventions, and identify any potential risks or concerns promptly. This frequent documentation helps in maintaining accurate and up-to-date records, which is essential for continuity of care and communication with the healthcare team.
Choice A is incorrect because the renewal of restraints prescription every 6 hr is not necessary and may not be in the best interest of the client's autonomy and dignity.
Choice C is incorrect as waiting 36 hr for a provider evaluation may delay necessary interventions.
Choice D is incorrect as monitoring every 30 min may not provide timely assessment and intervention.
Question 5 of 5
A nurse is caring for a client who has a history of opioid use disorder. Which medication should the nurse anticipate administering to prevent withdrawal symptoms?
Correct Answer: A
Rationale: The correct answer is A: Methadone. Methadone is a long-acting opioid agonist that helps prevent withdrawal symptoms in clients with opioid use disorder by providing a similar but less intense effect, allowing for a gradual tapering off. Disulfiram (
B) is used to treat alcohol use disorder, not opioid use disorder. Naloxone (
C) is an opioid antagonist used for reversing opioid overdose, not preventing withdrawal. Bupropion (
D) is an antidepressant and smoking cessation aid, not indicated for opioid withdrawal.