ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority?
Correct Answer: B
Rationale: The process of detoxification from alcohol can lead to withdrawal symptoms, some of which can be severe and even life-threatening. Adequate hydration is crucial during this period to prevent dehydration and electrolyte imbalances that can occur due to excessive vomiting, diarrhea, or sweating associated with withdrawal. Rest is also important to help the client's body recover from the physical stress of withdrawal.
Question 2 of 5
A nurse is preparing to administer benztropine 2 mg IM every 12 hr to a client who is experiencing an extrapyramidal reaction. Available is benztropine 1 mg/mL for injection. How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
To calculate the volume (mL): Volume = Dose (mg) / Concentration (mg/mL). Dose = 2 mg, Concentration = 1 mg/mL. Volume = 2 mg / 1 mg/mL = 2 mL.
Question 3 of 5
A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?
Correct Answer: D
Rationale: Seclusion is generally contraindicated for clients who have attempted suicide. Placing them in isolation can worsen feelings of despair and isolation, potentially increasing the risk of self-harm or suicide. These clients require close monitoring, support, and therapeutic interventions to address the underlying issues.
Question 4 of 5
A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?
Correct Answer: B
Rationale: Conducting a thorough assessment and review of the client's behavior, including any cues or warning signs that may have indicated suicidal ideation, can help identify gaps in care and improve risk assessment and management for future clients.
Question 5 of 5
A nurse is caring for a client who is dying. The client says, 'My mother died in the hospital, but I did not get before she died.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The nurse's response empathizes with the client's feelings and invites a conversation about their emotions. It acknowledges the client's concerns and opens the door for a more in-depth discussion about their fears and feelings regarding dying alone.