ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: C
Rationale: Asking intent assesses immediate safety risk, the priority. Lists, role modeling, and stress techniques are secondary.
Question 2 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Offering at the next dose respects autonomy despite involuntary status. Consequences are coercive, IM injection violates rights, and denying refusal is false.
Extract:
Vital Signs
Blood pressure: 112/68 mm Hg
Temperature: 37° C (98.6° F)
Heart rate: 64/min
Respiratory rate: 12/min
Oxygen saturation: 98% on room air
Medical History
A 19-year-old female client presents to the clinic accompanied by her parents. The parents indicate they "have to do something or she is going to end up in jail - we cannot believe a thing she tells us.” The client is disinterested, standing with arms crossed, and not answering questions when addressed. Her parents indicate she “can be very nice to be around, but when denied something she wants, she becomes aggressive and abusive.” Parents report impulsivity and that the client does not show remorse for her actions. According to her parents, “she is reckless and irresponsible.” The parents indicate this type of behavior started around age 13 and has recently become more frequent. The client states, “I can do what I want. Nobody is going to tell me what to do.”
Question 3 of 5
A nurse is caring for a client. Exhibits:Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.
Correct Answer: B, A&E, C&E
Rationale: Antisocial personality (
B) fits impulsivity/aggression. Assess criminal history (
A) and set boundaries (E), monitor aggression (
C) and deceit (E).
Extract:
Question 4 of 5
A nurse is caring for a client who is seeking help to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Varenicline aids smoking cessation by reducing nicotine effects. Naltrexone is for alcohol/opioids, Donepezil for Alzheimer’s, and Disulfiram for alcoholism.
Question 5 of 5
A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Low stimuli reduce hallucination intensity and agitation. Eye contact builds trust, socialization may overwhelm, and touch could be misinterpreted.